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Organization
SOUND MINDS LLC
Active
Organization
SOUND MINDS LLC
Active
Other names
Brooke Fandrich
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE DANIELLE FANDRICH PMHNP-BC (PSYCH NURES PRACTITIONER)
(307) 212-1042
Entity
Organization
Contact information
Practice address
1370 S WEST TEMPLE, SALT LAKE CITY, UT 84115-5218
(801) 893-8417
Mailing address
1471 DEWAR DR STE 127, ROCK SPRINGS, WY 82901-5815
(307) 630-3466
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
05/30/2024
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