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Moriah Danae Carr, NP

Nurse Practitioner, Family in South Jordan, UT. Individual provider (NPI-1).

NPI number1992492227
StatusActive
Last updated in NPPESApr 18, 2023

Details

NPI
1992492227
Entity type
Individual (NPI-1)
Name
Moriah Danae Carr
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 18, 2023
Certification date
Apr 18, 2023
Last updated
Apr 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family7205852-4405UTYes

Practice location

9808 S Lazy Water Cv
South Jordan, UT 84095-8000

Phone 801-440-4557

Mailing address

9808 S Lazy Water Cv
South Jordan, UT 84095-8000

Phone 801-440-4557

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