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BREANNA NICOLE LUNDQUIST

Psychiatric/Mental Health, Child & Adolescent >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1427660042

Individual Registrant:
 BREANNA NICOLE LUNDQUIST 
Gender: F
Sole Proprietor

Location and contact information for practice:
15254 S CAVALRY CT  BLUFFDALE, UT 84065-4992 US
Tel: 801-455-9606  Fax: --

Contact information for business:
15254 S CAVALRY CT  BLUFFDALE, UT 84065-4992 US
Tel: 801-455-9606  Fax: --

Registration Information:
NPI: 1427660042
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WP0807XNursing Service Providers
Registered Nurse
Psychiatric/Mental Health, Child & Adolescent
UT9813075-3102

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RN LICENSE9813075-3102UT01




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