Ms Carol Manning Whitesides, | |
1575 S State St, Salt Lake City, UT 84115-1610 | |
(801) 957-3323 | |
Not Available |
Full Name | Ms Carol Manning Whitesides |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1575 S State St, Salt Lake City, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093962714 | NPI | - | NPPES |
870532738005 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 197834-8900 (Utah) | Primary |
363LF0000X | Nurse Practitioner - Family | 1978348900 (Utah) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Ms Carol Manning Whitesides, 89 Whitesides St, Layton, UT 84041-4337 Ph: (801) 721-9914 | Ms Carol Manning Whitesides, 1575 S State St, Salt Lake City, UT 84115-1610 Ph: (801) 957-3323 |
Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999 | |
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600 | |
Emma Fong, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000 | |
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766 | |
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761 | |
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 | |
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166 |