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Individual

BRITTANY ANN BULLOCK

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
28 N MAIN ST STE 3, TOOELE, UT 84074-2352
(435) 830-7170
Mailing address
365 S CANYON OVERLOOK DR, TOOELE, UT 84074-3518
(435) 830-7170

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
7313239-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7313239-4405
UT

Other

Enumeration date
06/01/2023
Last updated
07/07/2023
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