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Individual

BROOKE GIBBONS MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
361 E 1200 S STE 201, OREM, UT 84058-6904
(801) 224-3014
Mailing address
1965 N 3050 W, PROVO, UT 84601-6001
(803) 522-2054

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8612659-4405
UT

Other

Enumeration date
02/03/2023
Last updated
02/16/2023
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