Individual
MRS. KATRINA NICOLE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, NP-STUDENT
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(951) 575-5707
Mailing address
1787 N AVOCET DR, SALEM, UT 84653-5579
(951) 575-5707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13012198-3102
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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