Carly Burkland
Individual provider Active NPI Health Educator · Farr West, UT
NPI 1508312273 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1508312273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 2474 W 2000 N
Farr West, UT 84404-9786 - Phone
- (801) 710-4110
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
2474 W 2000 N
Farr West, UT 84404-9786
Mailing address
2474 W 2000 N
Farr West, UT 84404-9786
Phone (801) 710-4110
Other providers in Farr West, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2016. 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.