Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carmen Gordichuk

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609321496

Carmen Gordichuk is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Licensed in ZZ. Registered with an NPI since 2016.

Licensed in
ZZ
In the registry since
2016

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence DL6995023 (ZZ)

Record details

NPI number1609321496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2016
Last updated in NPPESAugust 22, 2016

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