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Brenna Mae Wells
Family Nurse Practitioner in Ogden, Utah
NPI 1932508710

Brenna Mae Wells is a Family Nurse Practitioner based in Chattanooga, UT and is specialized in Family. Brenna Mae Wells practices in Ogden, UT. The NPI Number for Brenna Mae Wells is 1932508710 and holds a License No. 9643056-4405 (Utah).

The current practice location address for Brenna Mae Wells is 4240 Harrison Blvd, Ogden, UT and can be reached out via phone at 801-621-2610.

Location: 4240 Harrison Blvd, Ogden, UT, 37421-2444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932508710
Provider Name
Brenna Mae Wells
Credential
Provider Entity Type
Individual
Gender
Female
Address
4240 Harrison Blvd, Ogden, UT, 37421-2444
Phone Number
801-621-2610
Fax Number
Provider Enumeration Date
08/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4240 Harrison Blvd
City
Ogden
State
Utah
Zip
84403-3102
Phone Number
801-621-2610
Fax Number
person
Provider Business Mailing Address Details
Address
4240 Harrison Blvd
City
Ogden
State
Utah
Zip
84403-3102
Phone Number
801-621-2610
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SD-RN R040316 (South Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
9643056-4405 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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