Individual
KORTNEE SANDRA BRIGHTSHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4403 HARRISON BLVD STE 4410, OGDEN, UT 84403-3323
(801) 387-6850
(801) 387-6855
Mailing address
1749 W 2525 S, SYRACUSE, UT 84075-8999
(801) 390-0647
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10827123-4405
UT
Other
Enumeration date
06/10/2022
Last updated
11/23/2022
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