Individual
KATHERINE MICHELLE GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11127070-4405
UT
363LF0000X
Family Nurse Practitioner
111813
AK
363LF0000X
Family Nurse Practitioner
99538
OK
Other
Enumeration date
06/06/2016
Last updated
04/25/2022
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