Individual
BRENT H EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3051 W MAPLE LOOP DR STE 125, LEHI, UT 84043-5620
(801) 766-6055
(888) 611-8840
Mailing address
3051 W MAPLE LOOP DR, STE 125, LEHI, UT 84043-5620
(801) 766-6055
(888) 611-8840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
220980
UT
363L00000X
Nurse Practitioner
95001045
CA
Other
Enumeration date
09/27/2006
Last updated
07/29/2024
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