Healthcare Provider Details

I. General information

NPI: 1447636089
Provider Name (Legal Business Name): CAROLINA ARAUJO GUITARRARI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2015
Last Update Date: 08/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 W 1000 N
SALT LAKE CITY UT
84116-1654
US

IV. Provider business mailing address

4745 S 3200 W
TAYLORSVILLE UT
84129-2822
US

V. Phone/Fax

Practice location:
  • Phone: 801-328-5750
  • Fax:
Mailing address:
  • Phone: 801-858-3461
  • Fax: 801-955-2389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5212798-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: