Individual
MRS. CARLY K REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-S
Contact information
Practice address
517 D ST, SALT LAKE CITY, UT 84103-2831
(954) 923-7440
Mailing address
517 D ST, SLC, UT 84103-2831
(954) 923-7440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6600043-3102
UT
Other
Enumeration date
02/24/2022
Last updated
02/22/2023
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