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NPI Code Detail

MEDICARE: NATHAN CARTER LITTLEFIELD NP

MEDICARE: NATHAN CARTER LITTLEFIELD NP
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
1363LF0000XFamily Nurse Practitioner6380656-4405UT
2363L00000XNurse Practitioner6380656-4405UT

General Provider Information

NPI Number : 1568747707
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN CARTER LITTLEFIELD NP
Provider Business Mailing Address
First Line : 2965 W 3500 S
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84119-3602
Country : US
Telephone Number : 801-965-3600
Fax Number :
Provider Business Practice Location Address
First Line : 9844 S 1300 E STE 100
Second Line :
City : SANDY
State : UT
Zip : 84094-4600
Country : US
Telephone Number : 801-571-9433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2011
Last Update Date : 04/17/2024

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Directions to “ NATHAN CARTER LITTLEFIELD NP” Practice Location

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