Individual
CAROLYN M TOMETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-P
Contact information
Practice address
5030 HARRISON BLVD, OGDEN, UT 84403-4311
(801) 387-5620
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-5620
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2082414405
UT
Other
Enumeration date
07/16/2006
Last updated
08/12/2021
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