Individual
CARA THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
VAMC 500 FOOTHILL DRIVE, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2388 N 2600 E, LAYTON, UT 84040-7954
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8633254-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8633254-4405
DOPL, A.P.R.N LICENSE
UT
01
—
8633254-8900
DOPL, A.P.R.N CONTROLLED SUBSTANCE LICENSE
UT
Enumeration date
07/26/2018
Last updated
07/26/2018
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