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Search › Utah › 363LF0000X

Carlos Bonilla, APRN

NPI 1174032122 · on the registry since 2017 · sole proprietor

Practice

Address
1443 West 800 North, Suite #302
Orem, UT 84057
Phone
(801) 235-0953
Organisation at this address
Chrysalis Utah, Llc
Chrysalis Utah, Llc
Male Fertility And Peyronie'S Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Additional practice sites

  • George E. Wahlen Va Salt Lake City Health Care System, Salt Lake City, UT

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah