Carla Lucile Applegate-Anderson
Nurse Practitioner, Psych/Mental Health in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1245877448
StatusActive
Last updated in NPPESDec 6, 2019
Details
- NPI
- 1245877448
- Entity type
- Individual (NPI-1)
- Name
- Carla Lucile Applegate-Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2019
- Last updated
- Dec 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 7044161-4505 | UT | Yes |
Practice location
2666 South 2000 EastSuite 101
Salt Lake City, UT 84109
Phone 801-691-7064
Mailing address
2666 S 2000 E Ste 101Salt Lake City, UT 84109-1721
Phone 801-691-7064
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