Provider Demographics
NPI:1770850554
Name:HARALSON, SARALYNN THELMA (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARALYNN
Middle Name:THELMA
Last Name:HARALSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 S 900 E STE 140
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-6630
Mailing Address - Country:US
Mailing Address - Phone:801-288-2229
Mailing Address - Fax:801-288-7045
Practice Address - Street 1:4075 S 1570 E
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1519
Practice Address - Country:US
Practice Address - Phone:801-554-1566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT52933324-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily