Individual
GARRETT SCHWANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 583-2500
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11285480-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11285480-4405
UT
Other
Enumeration date
06/04/2024
Last updated
06/08/2026
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