Individual
ANNETTE S BRAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-6393
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 673-0804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
215445-4405
UT
Other
Enumeration date
01/30/2007
Last updated
02/09/2016
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