Provider Demographics
NPI:1780440271
Name:CARLSON, CHRISTIN (CD(DONA), CAD (MCU))
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:CARLSON
Suffix:
Gender:F
Credentials:CD(DONA), CAD (MCU)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11774 S SILVER SPUR LN
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-4515
Mailing Address - Country:US
Mailing Address - Phone:801-891-8161
Mailing Address - Fax:
Practice Address - Street 1:11774 S SILVER SPUR LN
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-4515
Practice Address - Country:US
Practice Address - Phone:801-891-8161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula