person
Mr. Shadrick Wyatt Tillotson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Lehi, Utah
NPI 1528514809

Shadrick Wyatt Tillotson is a Psychiatric/Mental Health Nurse Practitioner based in Lehi, UT and is specialized in Psychiatric/Mental Health. Shadrick Wyatt Tillotson practices in Lehi, UT and has the professional credentials of PMHNP-BC. The NPI Number for Shadrick Wyatt Tillotson is 1528514809 and holds a License No. 6223314-4405 (Utah).

The current practice location address for Shadrick Wyatt Tillotson is 2901 W Blue Grass Blvd Ste 200, Lehi, UT and can be reached out via phone at 385-510-5150 and via fax at 866-748-5235. You can also correspond with Shadrick Wyatt Tillotson through the mailing address at 2901 W BLUE GRASS BLVD STE 200, LEHI, UT - 84043-4190 (mailing address contact number: 385-510-5150).

Location: 2901 W Blue Grass Blvd Ste 200, Lehi, UT, 84043-4190
person
Provider Profile Details
NPI Number
1528514809
Provider Name
Shadrick Wyatt Tillotson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
2901 W Blue Grass Blvd Ste 200, Lehi, UT, 84043-4190
Phone Number
385-510-5150
Fax Number
866-748-5235
Provider Enumeration Date
08/28/2016
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
2901 W Blue Grass Blvd Ste 200
City
State
Zip
84043-4190
Phone Number
385-510-5150
Fax Number
866-748-5235
person
Provider Business Mailing Address Details
Address
2901 W Blue Grass Blvd Ste 200
City
State
Zip
84043-4190
Phone Number
385-510-5150
Fax Number
866-748-5235
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
6223314-4405 (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.
6223314-4405 (Utah)
Definition
Definition to come...
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