Individual
DANIELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
(801) 355-2846
Mailing address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11605383-4405
UT
Other
Enumeration date
05/25/2023
Last updated
08/23/2025
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