KATHRYN SUZANNE BATES NP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1558881565- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 11520 S REDWOOD RD, SOUTH JORDAN, UT, 840957805
- Phone
- (385) 887-6000
Specialties & Taxonomies
Nurse Practitioner
Primary License: UT #5798253-4405
Nurse Practitioner, Family
License: UT #5798253-4405
All Addresses
MAILING
PO BOX 27128
SALT LAKE CITY, UT, 841270128