Organization
CONTI-CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA C. MAW MS, APRN (NURSE PRACTITIONER)
(801) 361-6038
Entity
Organization
Contact information
Practice address
1495 N 200 W, OREM, UT 84057-2626
(801) 361-6038
(801) 764-9393
Mailing address
1495 N 200 W, OREM, UT 84057-2626
(801) 361-6038
(801) 764-9393
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
213838-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21383844001001
BXBS
UT
05
—
529967696002
—
UT
Enumeration date
06/02/2007
Last updated
08/22/2020
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