Provider Demographics
NPI:1588185300
Name:GILBERT, KAREN ANN (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:GILBERT
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:280 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-6236
Mailing Address - Country:US
Mailing Address - Phone:801-505-0821
Mailing Address - Fax:
Practice Address - Street 1:310 E 4500 S STE 215
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-4254
Practice Address - Country:US
Practice Address - Phone:385-419-2394
Practice Address - Fax:801-823-6054
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-01
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7742795-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT7742795-4405OtherDIVISION OF PROFESSIONAL LICENSING, APRN LICENSE #