Individual
BROCK FREIDENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
550 E 1400 N STE T, LOGAN, UT 84341-2450
(435) 716-1320
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14192566-4405
UT
Other
Enumeration date
10/30/2024
Last updated
01/06/2026
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