Individual
CARLA COATS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 MARIO CAPECCHI DR, 4TH FLOOR BURN CLINIC, SALT LAKE CITY, UT 84132-0001
(801) 851-3050
(801) 581-8446
Mailing address
50 MARIO CAPECCHI DR, 4TH FLOOR BURN CLINIC, SALT LAKE CITY, UT 84132-0001
(801) 851-3050
(801) 581-8446
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5039064-4405
UT
Other
Enumeration date
10/23/2008
Last updated
08/02/2010
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