Individual
DALLIN BAWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
688 E VINE ST, MURRAY, UT 84107-5549
(801) 436-6556
Mailing address
688 E VINE ST, MURRAY, UT 84107-5549
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10836815-4405
UT
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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