IDA KATRINA EVANS

PROVO, UT
NPI1841949401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: UT  324214-4405)
Additional Taxonomies163WN0002X Registered Nurse, Neonatal Intensive Care
(Licence: UT  324214-3201)
Enumeration Date2022-03-21
Last Update Date2022-12-08
Business Address
IDA KATRINA EVANS RN
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7414
Mailing Address
IDA KATRINA EVANS RN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: