Anew Clinical Practitioners PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Draper, UT
NPI 1992324206 · NPPES record last updated Nov 4, 2020
Key facts
- NPI
- 1992324206
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ANEW CLINICAL PRACTITIONERS PLLC
- Practice address
- 11762 S State St Ste 160
Draper, UT 84020-7174 - Phone
- (801) 654-3229
- NPI assigned
- Apr 16, 2020
- Organization subpart
- No
Authorized official
- Name
- Tamara Lynn Broadhead
- Title
- DNP
- Phone
- (801) 654-3229
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
11762 S State St Ste 160
Draper, UT 84020-7174
Mailing address
11762 S State St Ste 160
Draper, UT 84020-7174
Phone (801) 654-3229
Other providers in Draper, UT
- Morgan Anderson
- Dawn Andreozzi
- Kinley Andrews
- Tyler Andrews
- Anew Clinical Practitioners PLLC
- Anytime Dental No. 1, LLC
- Nicholas Aoki
- Trevor Apple
- Denise S. Arceneaux
- Alexa Archibald
All providers in Draper, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.