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NPI 1366909111

IndividualActive

Andrea Waite

NPI 1366909111 · Community Health Worker · Slc, UT

Provider details

NPI number: 1366909111
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: No

Practice location

252 W Brooklyn Ave

Slc, UT 84101-3024

Phone: (801) 363-9414

More UT providers

Mailing address

435 W Bearcat Dr

Salt Lake City, UT 84115-2519

Registry dates

Enumerated: 2019-02-28
Last updated: 2019-02-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrea Waite — NPI 1366909111, Slc, UT | NPI Central