Individual
MS. BRENDA DEVITT-NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MHA
Contact information
Practice address
GEORGE E WAHLEN VETERANS ADMINISTRATION CTR, 500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
GEORGE E WAHLEN VETERANS ADMINISTRATION CTR, 500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
6182326-3102
UT
163WP2201X
Ambulatory Care Registered Nurse
6182326-3102
UT
163WX1100X
Ophthalmic Registered Nurse
Primary
6182326-3102
UT
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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