Individual
ELSIE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1034 N 500 W BLDG A, PROVO, UT 84604-3380
(801) 357-3367
Mailing address
PO BOX 27128, ATTN: CREDENTIALING, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14225469-1206
UT
Other
Enumeration date
03/20/2025
Last updated
11/14/2025
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