Provider Demographics
NPI:1083712111
Name:DIERSING CLAPP, KARA ELAYNE (PHD NP-C)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:ELAYNE
Last Name:DIERSING CLAPP
Suffix:
Gender:F
Credentials:PHD NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7961 S MEYER VISTA CV
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-5405
Mailing Address - Country:US
Mailing Address - Phone:801-495-9303
Mailing Address - Fax:
Practice Address - Street 1:7961 S MEYER VISTA CV
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-5405
Practice Address - Country:US
Practice Address - Phone:801-495-9303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4930881-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily