Individual
BROOKE BUNKALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1407
(801) 213-9900
(801) 213-9910
Mailing address
881 E MAPLE VIEW DR APT 12, MILLCREEK, UT 84106-1924
(801) 915-9104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10849825-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
10849825-4405
UT
Other
Enumeration date
08/03/2021
Last updated
12/17/2021
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