Individual
MS. CAROLYN JEAN EWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
136 N 500 W, ROOSEVELT, UT 84066-2758
(435) 722-4843
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 442-3168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2235264405
UT
Other
Enumeration date
03/09/2007
Last updated
12/05/2016
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