Individual provider · Type 1 NPI
Carol Manning Whitesides
Family Nurse Practitioner · Salt Lake City, UT
NPI number
1093962714
Active
Practice location
1575 S State St
Salt Lake City, UT 84115-1610
Mailing address
89 Whitesides St
Layton, UT 84041-4337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 197834-8900 (UT) |
| Family Nurse Practitioner | 363LF0000X | 1978348900 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093962714
Carol Manning Whitesides's National Provider Identifier is 1093962714, issued on Aug 25, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 25, 2008.