Sound Minds LLC
Nurse Practitioner, Psych/Mental Health in Salt Lake City, UT. Organization (NPI-2).
NPI number1093439655
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1093439655
- Entity type
- Organization (NPI-2)
- Legal business name
- Sound Minds LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2022
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Other names
- Brooke Fandrich (Doing Business As)
Practice location
1370 S West TempleSalt Lake City, UT 84115-5218
Phone 801-893-8417
Mailing address
1471 Dewar Dr Ste 127Rock Springs, WY 82901-5815
Phone 307-630-3466
Other practice locations
1471 Dewar Dr Ste 127
Rock Springs, WY 82901-5815
Rock Springs, WY 82901-5815
Phone 307-630-3466
Authorized official
Brooke Danielle Fandrich
Psych Nures Practitioner
3072121042
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