Individual
DYLAN ROY RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7984 S 1300 E, SANDY, UT 84094-0744
(916) 412-6333
Mailing address
7984 S 1300 E, SANDY, UT 84094-0744
(916) 412-6333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11299468-4405
UT
Other
Enumeration date
10/18/2025
Last updated
10/24/2025
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