Healthcare Provider Details

I. General information

NPI: 1952929895
Provider Name (Legal Business Name): CAREN D EREKSON DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 W 4400 S STE A1
ROY UT
84067-3049
US

IV. Provider business mailing address

2533 W 12875 S
RIVERTON UT
84065-6757
US

V. Phone/Fax

Practice location:
  • Phone: 385-837-7010
  • Fax: 855-434-8880
Mailing address:
  • Phone: 801-604-9524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8318612-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: