Provider Demographics
NPI:1245510627
Name:CARTER, CATHERINE (APRN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 E HIGHWAY 138
Mailing Address - Street 2:STE 350
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-4028
Mailing Address - Country:US
Mailing Address - Phone:435-843-1342
Mailing Address - Fax:435-775-9272
Practice Address - Street 1:196 E 2000 N
Practice Address - Street 2:100
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-9335
Practice Address - Country:US
Practice Address - Phone:435-882-7644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT189143-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily