NPI 1174831408 · live from the CMS NPI Registry
Brittney Andersen, APRN
Nurse Practitioner in Draper, UT. National Provider Identifier 1174831408, active.
NPI record
| NPI | 1174831408 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 12433 Fort St, Draper, UT 84020 |
| Practice phone | 801-576-1086 |
| Enumerated | September 21, 2010 |
| Last updated | January 24, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 61133094405 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.