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Organization
BRAW BEATHAN LLC
Active
Organization
BRAW BEATHAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ALM DNP (PSYCHIATRIC NURSE PRACTITIONER)
(801) 946-4740
Entity
Organization
Contact information
Practice address
1399 S 700 E STE 7, SALT LAKE CITY, UT 84105-2103
(385) 441-6707
(833) 471-4568
Mailing address
1399 S 700 E STE 7, SALT LAKE CITY, UT 84105-2103
(385) 441-6707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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