Individual
MRS. CARRIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
(435) 752-7433
Mailing address
94 W 385 N, HYDE PARK, UT 84318-4026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200963-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200963-3102
RN
UT
Enumeration date
09/28/2006
Last updated
07/08/2007
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