Trevan Bryce Biddulph
Nurse's Aide in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1104946151
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104946151
- Entity type
- Individual (NPI-1)
- Name
- Trevan Bryce Biddulph
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | UT000109490307 | UT | Yes |
Practice location
50 N Medical DrSalt Lake City, UT 84132-0001
Phone 801-581-2121
Mailing address
155 1st Ave Apt 10Salt Lake City, UT 84103-2380
Phone 801-898-2441
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All 12 Nurse's Aide providers in Salt Lake City · All 24,510 providers in Salt Lake City
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