Individual
CANDICE KAI ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3903 HARRISON BLVD STE 300, OGDEN, UT 84403-2362
(801) 387-5600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
7001829-3101
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7001829-4405
UT
Other
Enumeration date
04/16/2022
Last updated
03/09/2023
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