Individual
BRANDI L BOLTON-ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
324 E 10TH AVE STE 170, SALT LAKE CITY, UT 84103-2858
(801) 408-6131
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-6131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
196343-4405
UT
363LF0000X
Family Nurse Practitioner
196343-4405
UT
364SF0001X
Family Health Clinical Nurse Specialist
1963434405
UT
Other
Enumeration date
10/29/2007
Last updated
06/12/2026
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