# ANEW CLINICAL PRACTITIONERS PLLC

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

## Provider details

- **NPI number:** 1992324206
- **Authorized official:** TAMARA LYNN BROADHEAD (DNP)
- **Authorized official phone:** (801) 654-3229

## Contact information

- **Practice address:** 11762 S STATE ST STE 160, DRAPER, UT 84020-7174
- **Practice address phone:** (801) 654-3229
- **Mailing address:** 11762 S STATE ST STE 160, DRAPER, UT 84020-7174
- **Mailing address phone:** (801) 654-3229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 11/04/2020