Individual
DR. CAROLYN LOUISE ANICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.P.R.N., PHD
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2519
Mailing address
2180 E 900 S, SALT LAKE CITY, UT 84108-1462
(801) 582-1565
(801) 584-2519
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
201917-4405
UT
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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