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Individual

MEKENNA ANDREE BERMINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3723 W 12600 S STE 330, RIVERTON, UT 84065-7309
(801) 285-4543
(801) 285-4540
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8497877-4405
UT
363LP0200X
Pediatric Nurse Practitioner
8497877-4405
UT

Other

Enumeration date
06/16/2022
Last updated
05/01/2026
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