Individual
BRECKEN DEWEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7410 S CREEK RD STE 100, SANDY, UT 84093-6151
(801) 816-1010
Mailing address
1004 W TUSCANY VIEW RD UNIT 1705, MIDVALE, UT 84047-4826
(435) 590-2312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
120502688900
UT
Other
Enumeration date
05/15/2023
Last updated
09/11/2025
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