Individual
MARANDA STAR CARLILE
Active
Individual
MARANDA STAR CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN002492
NV
363LF0000X
Family Nurse Practitioner
Primary
375828-4405
UT
363LF0000X
Family Nurse Practitioner
AP10110
AZ
363LW0102X
Women's Health Nurse Practitioner
375828-4405
UT
Other
Enumeration date
04/30/2017
Last updated
12/26/2023
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