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Individual

DR. LINSEY BETH BROADBENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC, APRN

Contact information

Practice address
1283 DEER VALLEY DR, PARK CITY, UT 84060-5182
(435) 640-6136
Mailing address
PO BOX 187, OAKLEY, UT 84055-0187
(435) 640-6136

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
3104015-3102
UT
363L00000X
Nurse Practitioner
3104015-8900
UT
363LF0000X
Family Nurse Practitioner
3104015-4405
UT

Other

Enumeration date
05/20/2019
Last updated
05/28/2019
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