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Individual

BRIAN PAUL MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
476 HERITAGE PK BLVD STE 230, LAYTON, UT 84041-5636
(801) 896-5345
Mailing address
735 E THREE FOUNTAINS CIR UNIT 47, MURRAY, UT 84107-5249
(801) 970-2676

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11817116-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11817116-4405
UT

Other

Enumeration date
03/15/2024
Last updated
04/12/2024
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