Organization
PREMIER PSYCHIATRY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHADRICK WYATT TILLOTSON NP (PRESIDENT, CEO)
(801) 404-9662
Entity
Organization
Contact information
Practice address
2901 W BLUE GRASS BLVD STE 200, LEHI, UT 84043-4190
(801) 404-9662
Mailing address
2901 W BLUE GRASS BLVD STE 200, LEHI, UT 84043-4190
(801) 404-9662
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
11/27/2023
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