Individual
BROOKE A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2146 W 11970 S, RIVERTON, UT 84065-7510
(801) 865-2456
Mailing address
2146 W 11970 S, RIVERTON, UT 84065-7510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11293811-3102
UT
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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