Individual
BROOKE LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 E PONY EXPRESS PKWY STE 140, EAGLE MOUNTAIN, UT 84005-5548
(801) 789-2444
(801) 789-2045
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
8642879-4405
UT
Other
Enumeration date
01/29/2020
Last updated
07/20/2022
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