Brittany Nicole Beverly
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1982205829
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1982205829
- Entity type
- Individual (NPI-1)
- Name
- Miss Brittany Nicole Beverly
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2020
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 214819781 | UT | Yes |
Practice location
236 N Sun Arbor Ter Apt 2111Salt Lake City, UT 84116-4537
Phone 385-777-9951
Mailing address
236 N Sun Arbor TerApt 2111
Salt Lake City, UT 84116
Phone 385-777-9951
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