Individual
BRENT JAMES BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP, APRN
Contact information
Practice address
1688 N 210 E, OREM, UT 84057-2203
(385) 233-7689
Mailing address
1688 N 210 E, OREM, UT 84057-2203
(385) 233-7689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8695221-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
8695221-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8695221-8900
UT
Other
Enumeration date
12/29/2022
Last updated
02/09/2026
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