Individual
MISS BRITTANY NICOLE BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 N SUN ARBOR TER APT 2111, SALT LAKE CITY, UT 84116-4537
(385) 777-9951
Mailing address
236 N SUN ARBOR TER, APT 2111, SALT LAKE CITY, UT 84116
(385) 777-9951
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
214819781
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214819781
—
UT
Enumeration date
11/06/2020
Last updated
11/06/2020
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