Individual provider · NPI-1

Lynette Fay Brown, BSN, RN

Nurse Practitioner, Family · Salt Lake City, UT

NPI number1114413846
StatusActive
Last updated in NPPESMay 19, 2025

Details

NPI
1114413846
Entity type
Individual (NPI-1)
Name
Lynette Fay Brown
Credential
BSN, RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 5, 2018
Certification date
May 19, 2025
Last updated
May 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family71689NMYes
163W00000X Registered NurseRN00168855WA
208100000X Physical Medicine & Rehabilitation71689NM

Other names

  • Lynette Fay Hammer (Former Name)

Practice location

136 E South Temple Ste 1400
Salt Lake City, UT 84111-1143

Phone 385-258-2751

Mailing address

136 E South Temple Ste 1400
Salt Lake City, UT 84111-1143

Phone 385-258-2751

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