Individual
KRISTEN DANIELLE CARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12921 S VISTA STATION BLVD FL 4, DRAPER, UT 84020-2376
(385) 274-3959
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12296766-1206
UT
363AM0700X
Medical Physician Assistant
2738
SC
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/31/2012
Last updated
07/30/2021
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