Individual
BREMOND WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4151 N TRAVERSE MTN BLVD # 19-001, LEHI, UT 84043-2616
(801) 440-0260
Mailing address
4151 N TRAVERSE MTN BLVD # 19-001, LEHI, UT 84043-2616
(801) 440-0260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
381082-4405
UT
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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