Individual
CARRA MARIE BRANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4403 HARRISON BLVD, STE 3875, OGDEN, UT 84403-3271
(801) 387-7950
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6213749-4405
UT
Other
Enumeration date
07/31/2006
Last updated
09/16/2021
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