person
Breanna Lundquist, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Sandy, Utah
NPI 1427660042

Breanna Lundquist is a Psychiatric/Mental Health Nurse Practitioner based in Sandy, UT and is specialized in Psychiatric/Mental Health. Breanna Lundquist practices in Sandy, UT and has the professional credentials of PMHNP. The NPI Number for Breanna Lundquist is 1427660042 and holds a License No. 9813075-3102 (Utah).

The current practice location address for Breanna Lundquist is 45 W Sego Lily Dr Ste 312, Sandy, UT and can be reached out via phone at 801-676-9452. You can also correspond with Breanna Lundquist through the mailing address at 45 W SEGO LILY DR STE 312, SANDY, UT - 84070-3643 (mailing address contact number: 801-676-9452).

Location: 45 W Sego Lily Dr Ste 312, Sandy, UT, 84070-3643
person
Provider Profile Details
NPI Number
1427660042
Provider Name
Breanna Lundquist
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
45 W Sego Lily Dr Ste 312, Sandy, UT, 84070-3643
Phone Number
801-676-9452
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9813075-8900 01 UT APRN CONTROLLED SUBSTANCE SCHEDULE 2-5
2022094133 01 UT ANCC PMHNP-BC
9813075-3102 01 UT RN LICENSE
981375-4405 01 UT APRN-PMHNP
institution
Provider Business Practice Location Address Details
Address
45 W Sego Lily Dr Ste 312
City
State
Zip
84070-3643
Phone Number
801-676-9452
Fax Number
person
Provider Business Mailing Address Details
Address
45 W Sego Lily Dr Ste 312
City
State
Zip
84070-3643
Phone Number
801-676-9452
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
9813075-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
9813075-3102 (Utah)
Definition
Definition to come...
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