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Contact Information

BRIDGEWAY INTEGRATED HEALTHCARE SERVICES
6013 S REDWOOD RD
TAYLORSVILLE, UT84123-5220
 Phone: 801-255-5131
 Fax: 801-658-0604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Counselor

101Y00000X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRIDGEWAY INTEGRATED HEALTHCARE SERVICES · (Female)

NPI Number 1104119619
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2011
Last updated 03/17/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 1-08-4502
  • UT License # 5896085-6004
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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