NPI 1073905972 · live from the CMS NPI Registry
Camille Willmore Allred, FNP-C
Nurse Practitioner, Family in Salt Lake City, UT. National Provider Identifier 1073905972, active.
NPI record
| NPI | 1073905972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 222 E 7th Ave, Salt Lake City, UT 84103 |
| Practice phone | 801-592-1993 |
| Enumerated | March 2, 2015 |
| Last updated | March 12, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 7863784-8900 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.