Provider Demographics
NPI:1437702172
Name:NAVAL, CARLIE KAY (DNP)
Entity Type:Individual
Prefix:
First Name:CARLIE
Middle Name:KAY
Last Name:NAVAL
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:CARLIE
Other - Middle Name:KAY
Other - Last Name:CRAPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:645 W FERN DR
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-7254
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:645 W FERN DR
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-7254
Practice Address - Country:US
Practice Address - Phone:801-717-6465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTCNM05351176B00000X
UT9034705-3102367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife