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Brandon Thatcher, FMHNP
Psychiatric/Mental Health Nurse Practitioner in Provo, Utah
NPI 1669814505

Brandon Thatcher is a Psychiatric/Mental Health Nurse Practitioner based in Provo, UT and is specialized in Psychiatric/Mental Health. Brandon Thatcher practices in Provo, UT and has the professional credentials of FMHNP. The NPI Number for Brandon Thatcher is 1669814505 and holds a License No. 7393923-4405 (Utah).

The current practice location address for Brandon Thatcher is 1750 N Wymount Terrace Dr, Provo, UT and can be reached out via phone at 801-422-5156.

Location: 1750 N Wymount Terrace Dr, Provo, UT, 84602-7600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669814505
Provider Name
Brandon Thatcher
Credential
FMHNP
Provider Entity Type
Individual
Gender
Male
Address
1750 N Wymount Terrace Dr, Provo, UT, 84602-7600
Phone Number
801-422-5156
Fax Number
Provider Enumeration Date
07/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669814505 05 UT
institution
Provider Business Practice Location Address Details
Address
1750 N Wymount Terrace Dr
City
Provo
State
Utah
Zip
84602-7600
Phone Number
801-422-5156
Fax Number
person
Provider Business Mailing Address Details
Address
1750 N Wymount Terrace Dr
City
Provo
State
Utah
Zip
84602-7600
Phone Number
801-422-5156
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
7393923-4405 (Utah)
Definition
Definition to come...
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