Search › Utah › 374J00000X
Carlie Didericksen
NPI 1740071430 · on the registry since 2025
Practice
- Address
- 2986 W Southpointe Rd
South Jordan, UT 84095 - Phone
- (801) 516-8056
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2025-05-14
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