Individual
CARRIE HANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4403 HARRISON BLVD, OGDEN, UT 84403-3271
(801) 387-7900
(801) 387-7910
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7299631-4405
UT
363LF0000X
Family Nurse Practitioner
7299631-3102
UT
Other
Enumeration date
02/23/2022
Last updated
06/21/2023
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