Waldo, Kathryn Ann

Waldo, Kathryn Ann is an individual health care provider with primary practice located at 4915 E Baseline Rd Ste 119 , Gilbert AZ 85234-2969. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Waldo, Kathryn Ann can be contacted via phone (480) 832-0480.

Contact Information

Primary practice address
4915 E Baseline Rd Ste 119 Gilbert AZ 85234-2969
Phone: (480) 832-0480
Fax: (480) 832-0490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP3157 Arizona

Profile Details

NPI number 1063662914
LBN Legal business name Waldo, Kathryn Ann
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Jul 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063662914 NPPES
Arizona MEDICAID 797740

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