Individual
WHITNEY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N 500 W STE 202, PROVO, UT 84604-3305
(801) 374-2367
Mailing address
1055 N 500 W ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7963682-4405
UT
Other
Enumeration date
09/27/2017
Last updated
11/11/2021
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