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Contact Information

MEKENNA A BERMINGHAM, APRN
3723 W 12600 S STE 330
RIVERTON, UT84065-7309
 Phone: 801-285-4543
 Fax: 801-285-4540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MEKENNA A BERMINGHAM · (Female)

NPI Number 1073243531
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 06/16/2022
Last updated 05/01/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • UT License # 8497877-4405
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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