# BREANNA LUNDQUIST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1427660042
- **Gender:** F
- **Credential:** PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | 9813075-3102 | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 9813075-4405 | UT | Yes |

## Other

- **Enumeration date:** 08/17/2020
- **Last updated:** 02/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2022094133 | ANCC PMHNP-BC | UT |
| 01 | — | 9813075-3102 | RN LICENSE | UT |
| 01 | — | 9813075-8900 | APRN CONTROLLED SUBSTANCE SCHEDULE 2-5 | UT |
| 01 | — | 981375-4405 | APRN-PMHNP | UT |