Individual
CARTER SMITH SYPHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
680 W 4800 S, SALT LAKE CITY, UT 84123-4569
(801) 244-7882
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
11926499-3102
UT
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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