Individual
MARIE CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3665 S 8400 W STE 110, MAGNA, UT 84044-4907
(801) 250-9638
Mailing address
3665 SOUTH 8400 WEST SUITE 110, MAGNA, UT 84044
(801) 250-9638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F08170623
UT
363LF0000X
Family Nurse Practitioner
Primary
F08170623
UT
Other
Enumeration date
10/03/2017
Last updated
07/21/2022
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