| NPI | 1558691873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE CARBAUGH Advance Practice Registered Nurse, 801-662-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 351798-4405) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |