Individual
LESLIE FORBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-DNP-FNP
Contact information
Practice address
14425 S BITTERBRUSH LN, DRAPER, UT 84020-9501
(801) 576-7000
Mailing address
14425 S BITTERBRUSH LN, DRAPER, UT 84020-9501
(801) 576-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
334808-405
UT
363LF0000X
Family Nurse Practitioner
334808-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
334808-4405
UT
Other
Enumeration date
07/23/2020
Last updated
01/21/2026
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