Provider Demographics
NPI:1952929895
Name:EREKSON, CAREN D (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:D
Last Name:EREKSON
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2533 W 12875 S
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-6757
Mailing Address - Country:US
Mailing Address - Phone:801-604-9524
Mailing Address - Fax:
Practice Address - Street 1:4624 S HOLLADAY BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84117-7168
Practice Address - Country:US
Practice Address - Phone:801-266-3113
Practice Address - Fax:801-266-5633
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8318612-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily