Provider Demographics
NPI:1558628313
Name:CARTER, SABRINA K (FNP)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:K
Last Name:CARTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 S CARBON AVE STE 19
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-2853
Mailing Address - Country:US
Mailing Address - Phone:435-299-5003
Mailing Address - Fax:435-226-4421
Practice Address - Street 1:23 S CARBON AVE STE 19
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-2853
Practice Address - Country:US
Practice Address - Phone:435-299-5003
Practice Address - Fax:435-226-4421
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT92178314405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily