Provider Demographics
NPI:1659995942
Name:FEHR, KARLI VICTORIA
Entity Type:Individual
Prefix:
First Name:KARLI
Middle Name:VICTORIA
Last Name:FEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2177 E DEBEERS DR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-1791
Mailing Address - Country:US
Mailing Address - Phone:801-828-7841
Mailing Address - Fax:
Practice Address - Street 1:2177 E DEBEERS DR
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-1791
Practice Address - Country:US
Practice Address - Phone:801-828-7841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-02
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9818088-3102163W00000X
UT9818088-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse