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Individual

BREEANNA HOLDAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
8 TH AVENUE & C ST, CENTRAL TOWER 5, SALT LAKE CITY, UT 84143-0001
(801) 408-3617
Mailing address
1113 E 3580 S, SALT LAKE CITY, UT 84106-2438
(435) 452-1961

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2012009665
UT

Other

Enumeration date
01/09/2013
Last updated
10/20/2022
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