Individual
MS. ROBIN LEA WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 FOOTHILL BLVD MAIL CODE 111CT, SALT LAKE CITY, UT 84148-0001
(801) 582-1564
(801) 584-2532
Mailing address
1213 FENWAY AVE, SALT LAKE CITY, UT 84102-3211
(801) 582-1565
(801) 584-2532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2143628900
UT
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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