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Contact Information

ANEW CLINICAL PRACTITIONERS PLLC
11762 S STATE ST STE 160
DRAPER, UT84020-7174
 Phone: 801-654-3229
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANEW CLINICAL PRACTITIONERS PLLC

NPI # 1689145963
LBN Legal business name ANEW CLINICAL PRACTITIONERS PLLC
Authorized official TAMARA BROADHEAD - (OWNER/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2018
Last updated 06/17/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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