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Contact Information

CARINA CHACON, APRN
7611 S JORDAN LANDING BLVD
WEST JORDAN, UT84084-5610
 Phone: 801-486-1616
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CARINA CHACON · (Female)

NPI # 1245841816
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/16/2020
Last updated 01/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9804824-4409
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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