Individual
KATARINA LESJAK WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2267
Mailing address
PO BOX 413032, SALT LAKE CITY, UT 84141-3032
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0262267-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500024962
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
12/16/2021
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