Healthcare Provider Details

I. General information

NPI: 1124878830
Provider Name (Legal Business Name): KATHERINE LEE BRIGGS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 E 680 S
CEDAR CITY UT
84720-3593
US

IV. Provider business mailing address

2441 W NATURE VIEW DR
CEDAR CITY UT
84720-1941
US

V. Phone/Fax

Practice location:
  • Phone: 435-865-1387
  • Fax:
Mailing address:
  • Phone: 949-510-4853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11842040-8900
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11842040-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: