Individual
CAROLINE HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PNP
Contact information
Practice address
295 CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7400
Mailing address
295 CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7369181-4405
UT
Other
Enumeration date
10/05/2009
Last updated
11/02/2021
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