Carla Lucile Applegate-Anderson
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT
NPI 1245877448 · NPPES record last updated Dec 6, 2019
Key facts
- NPI
- 1245877448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 7044161-4505 (UT)
- Practice address
- 2666 South 2000 East
Suite 101
Salt Lake City, UT 84109 - Phone
- (801) 691-7064
- NPI assigned
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7044161-4505 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 7044161-4505 | UT | Yes |
Addresses
Primary practice location
2666 South 2000 East
Suite 101
Salt Lake City, UT 84109
Mailing address
2666 S 2000 E Ste 101
Salt Lake City, UT 84109-1721
Phone (801) 691-7064
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- Sharon Elizabeth Applegate
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All providers in Salt Lake City, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.