BRAW BEATHAN LLC NPI 1245916006

NPI Information

  • NPI: 1245916006
  • Provider Name: BRAW BEATHAN LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1399 S 700 E STE 7
    SALT LAKE CITY, UT
    ZIP 84105
  • Phone: (385) 441-6707

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NPI Details

BRAW BEATHAN LLC is a psychiatric/mental health nurse practitioner in Salt Lake City, UT. BRAW BEATHAN LLC NPI is 1245916006. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1399 S 700 E STE 7
SALT LAKE CITY, UT
ZIP 84105-103
Phone: (385) 441-6707
Fax: (833) 471-4568

The provider's authorized official is Melissa Alm .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (801) 946-4740.

The enumeration date for this NPI number is 6/26/2023 and was last updated on 6/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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