NPI 1114765567 · live from the CMS NPI Registry
Brynne Allen, FNP
Nurse Practitioner, Family in Nibley, UT. National Provider Identifier 1114765567, active.
NPI record
| NPI | 1114765567 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2590 S 800 W, Nibley, UT 84321 |
| Practice phone | 801-505-1352 |
| Enumerated | July 18, 2024 |
| Last updated | July 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 10382571-4405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.