Individual
TIA MARIE BRINKERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SLC, UT 84113-1103
(801) 662-4100
Mailing address
100 N MARIO CAPECCHI DR, SLC, UT 84113-1103
(801) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6988426-4408
UT
Other
Enumeration date
10/12/2017
Last updated
03/17/2018
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