person
Ms. Carol Manning Whitesides
Family Nurse Practitioner in Salt Lake City, Utah
NPI 1093962714

Carol Manning Whitesides is a Family Nurse Practitioner based in Layton, UT and is specialized in Family. Carol Manning Whitesides practices in Salt Lake City, UT. The NPI Number for Carol Manning Whitesides is 1093962714 and holds a License No. 197834-8900 (Utah).

The current practice location address for Carol Manning Whitesides is 1575 S State St, Salt Lake City, UT and can be reached out via phone at 801-957-3323.

Location: 1575 S State St, Salt Lake City, UT, 84041-4337
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Provider Profile Details
NPI Number
1093962714
Provider Name
Carol Manning Whitesides
Credential
Provider Entity Type
Individual
Gender
Female
Address
1575 S State St, Salt Lake City, UT, 84041-4337
Phone Number
801-957-3323
Fax Number
Provider Enumeration Date
08/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
870532738005 05 UT
institution
Provider Business Practice Location Address Details
Address
1575 S State St
City
State
Zip
84115-1610
Phone Number
801-957-3323
Fax Number
person
Provider Business Mailing Address Details
Address
1575 S State St
City
State
Zip
84115-1610
Phone Number
801-957-3323
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
197834-8900 (Utah)
Definition
Definition to come...
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