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NPI Code Detail

MEDICARE: TAMMY CARTER APRN FNP-C

MEDICARE:   TAMMY  CARTER  APRN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner7171156-4405UT

General Provider Information

NPI Number : 1558112532
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY CARTER APRN FNP-C
Provider Business Mailing Address
First Line : 3731 N ADAMS ST
Second Line :
City : EAGLE MOUNTAIN
State : UT
Zip : 84013-9729
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3731 N ADAMS ST
Second Line :
City : EAGLE MOUNTAIN
State : UT
Zip : 84013-9729
Country : US
Telephone Number : 801-835-5771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2024
Last Update Date : 03/28/2024

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Directions to “ TAMMY CARTER APRN FNP-C” Practice Location

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