Provider Demographics
NPI:1578367793
Name:ALLRED, LARAMIE RACHEL (RN)
Entity type:Individual
Prefix:
First Name:LARAMIE
Middle Name:RACHEL
Last Name:ALLRED
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:LARAMIE
Other - Middle Name:RACHEL
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5165 N 2475 W
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-8828
Mailing Address - Country:US
Mailing Address - Phone:435-219-3412
Mailing Address - Fax:
Practice Address - Street 1:1251 NORTHFIELD RD STE 105
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-8622
Practice Address - Country:US
Practice Address - Phone:435-263-0267
Practice Address - Fax:435-867-1472
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12503352-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse