Individual
CAROLYN P PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2472 S 300 E, SALT LAKE CITY, UT 84115-2895
(801) 415-7427
(801) 415-7533
Mailing address
2472 S 300 E, SALT LAKE CITY, UT 84115-2895
(801) 415-7427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
278661-3101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107032225101
INTERMOUNTAIN HEALTH CARE
UT
Enumeration date
12/06/2005
Last updated
03/17/2008
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