Individual
CAROL F RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-6163
(435) 722-9291
Mailing address
210 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-6163
(435) 722-9291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
268377-4405
UT
363LF0000X
Family Nurse Practitioner
208377-4405
UT
Other
Enumeration date
01/03/2007
Last updated
09/09/2010
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