Individual
KAREN S VASTARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1159 E 12TH ST, OGDEN, UT 84404-5144
(801) 475-3700
(801) 475-3701
Mailing address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3000
(801) 475-3414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
344892-4405
UT
Other
Enumeration date
10/17/2005
Last updated
01/22/2013
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