Provider Demographics
NPI:1619594371
Name:CARTER, AUBRIE NICOLE (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:AUBRIE
Middle Name:NICOLE
Last Name:CARTER
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5557 W 4100 S
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-4629
Mailing Address - Country:US
Mailing Address - Phone:801-966-1118
Mailing Address - Fax:
Practice Address - Street 1:5557 W 4100 S
Practice Address - Street 2:
Practice Address - City:WEST VALLEY
Practice Address - State:UT
Practice Address - Zip Code:84120-4629
Practice Address - Country:US
Practice Address - Phone:801-966-1118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6346398-4405363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily