Healthcare Provider Details

I. General information

NPI: 1346163706
Provider Name (Legal Business Name): CAROLINE MARCHANT PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 E BENGAL BLVD APT M104
SALT LAKE CITY UT
84121-7154
US

IV. Provider business mailing address

2100 E BENGAL BLVD APT M104
SALT LAKE CITY UT
84121-7154
US

V. Phone/Fax

Practice location:
  • Phone: 385-222-8129
  • Fax:
Mailing address:
  • Phone: 385-222-8129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number7321623-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: