Healthcare Provider Details

I. General information

NPI: 1679494785
Provider Name (Legal Business Name): MARIITA CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1483 W 400 N
SPRINGVILLE UT
84663-5927
US

IV. Provider business mailing address

972 N 600 E
SPANISH FORK UT
84660-1306
US

V. Phone/Fax

Practice location:
  • Phone: 801-369-3602
  • Fax:
Mailing address:
  • Phone: 801-369-3602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF07261024
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: