Individual
CALEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6321 S REDWOOD RD, TAYLORSVILLE, UT 84123-6798
(385) 388-8003
Mailing address
6321 S REDWOOD RD, TAYLORSVILLE, UT 84123-6798
(385) 388-8003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11097773-4405
CO
363LC0200X
Critical Care Medicine Nurse Practitioner
11097773-4405
UT
363LF0000X
Family Nurse Practitioner
11097773-4405
UT
Other
Enumeration date
04/10/2021
Last updated
07/01/2024
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