Carol A Loucks APRN

NPI 1578830956 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1578830956
Gender Female
Enumeration Date 11/29/2011
Last Updated 11/29/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1629 W 1170 N
PROVO UT, 84604-2923, US
Phone (801) 472-6111
Fax
Business Location
1629 W 1170 N
PROVO UT, 84604-2923, US
Phone (801) 472-6111
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Utah
License Number 202205-4405
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According to our database, Carol A Loucks APRN NPI is 1578830956, taxonomy code is 363LF0000X and license number is 202205-4405, license state is located at Utah. Carol A Loucks APRN physically located at 1629 W 1170 N, Provo UT, 84604-2923. NPI Number Carol A Loucks APRN has the Individual type.

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1578830956 NPI number is provided on an as is basis without warranty of any kind. 1578830956 is maintained by the National Plan & Provider Enumeration System. The contents of Carol A Loucks APRN are for informational purposes only.