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Contact Information

REGINA BRUNNER, ACMHC, RN
5455 W 11000 N STE 201
HIGHLAND, UT84003-8820
 Phone: 801-449-0017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for REGINA BRUNNER · (Female)

NPI # 1902319551
Status Active
Credentials ACMHC, RN
Entity Individual
Enumeration date 11/06/2017
Last updated 03/18/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 14179257-3102
  • UT License # 14199401-6009
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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