Individual
REBECCA ANN WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
691 E 400 N, STE 110, VINEYARD, UT 84058-8405
(385) 203-0246
(385) 203-0245
Mailing address
PO BOX 912042, SAINT GEORGE, UT 84791-2042
(435) 215-0230
(435) 986-7092
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8821851-4405
UT
Other
Enumeration date
05/18/2017
Last updated
02/23/2022
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