Individual
ISAAC ALFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
44 W BROADWAY APT 2106, SALT LAKE CITY, UT 84101-3223
(801) 831-8141
(866) 382-8761
Mailing address
2561 S 1560 W STE B, WOODS CROSS, UT 84087-2361
(801) 505-0821
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
58988864405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5898886-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5898886-4405
LICENSE
UT
Enumeration date
09/02/2006
Last updated
12/06/2021
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