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Individual

BRIANA CIVELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
1160 E 3900 S STE 3500, SALT LAKE CITY, UT 84124-1264
(801) 743-4750
(801) 743-4765
Mailing address
PO BOX 281490, ATLANTA, GA 30384-1490

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10439370-4405
UT

Other

Enumeration date
02/12/2024
Last updated
01/31/2025
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