Individual
KLINTON LANE BREARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1443 W 800 N STE 302, OREM, UT 84057-2883
(801) 655-0015
(801) 655-0048
Mailing address
1443 W 800 N STE 302, OREM, UT 84057-2883
(801) 655-0015
(801) 655-0048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8459664-4405
UT
Other
Enumeration date
10/22/2018
Last updated
05/12/2021
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