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Organization
MEDICAL PREP LLC
Active
Organization
MEDICAL PREP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN RESNICK (OWNER)
(628) 282-5882
Entity
Organization
Contact information
Practice address
32 N GOULD ST, SHERIDAN, WY 82801-6317
(628) 282-5882
Mailing address
1799 S WASATCH DR, SALT LAKE CITY, UT 84108-3360
(628) 282-5882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
163W00000X
Registered Nurse
Primary
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/24/2025
Last updated
12/01/2025
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