# BRAW BEATHAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245916006
- **Authorized official:** DR. MELISSA ALM DNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (801) 946-4740

## Contact information

- **Practice address:** 1399 S 700 E STE 7, SALT LAKE CITY, UT 84105-2103
- **Practice address phone:** (385) 441-6707
- **Practice address fax:** (833) 471-4568
- **Mailing address:** 1399 S 700 E STE 7, SALT LAKE CITY, UT 84105-2103
- **Mailing address phone:** (385) 441-6707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2023
- **Last updated:** 06/26/2023