National Provider Identifier Database

BRANDY MARIE FAMILY AESTHETIC CARE LLC
Family


Contact Information

BRANDY MARIE FAMILY & AESTHETIC CARE LLC
1448 N 2000 W STE 3
CLINTON, UT84015-8388
Phone: 801-866-5353
Fax: 801-516-0977
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for BRANDY MARIE FAMILY & AESTHETIC CARE LLC

NPI Number 1275134132
Legal business name
LBN
BRANDY MARIE FAMILY & AESTHETIC CARE LLC
Authorized official BRANDY TAFOYA - (OWNER/FAMILY NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 11/05/2020
Last updated 05/12/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers
  • UT Medicaid: 1275134132
  • UT Medicaid: 1306447362
  • UT Other: 1306447362 NPI NUMBER
  • UT Other: 1275134132 NPI2

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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