Brent Lee Thompson
Nurse Practitioner - Primary Care
441 S Redwood Rd
Slc
, Utah 84104-3539
Brent Lee Thompson
Nurse Practitioner - Primary Care
441 S Redwood Rd
Slc
, Utah 84104-3539
(801) 973-6985
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Brent Lee Thompson
- 441 S Redwood Rd
- Slc, UT
- Zip : 84104-3539
- Fax : (801) 973-6985
- Phone : (801) 973-2588
Second Address
- Brent Lee Thompson
- 441 S Redwood Rd
- Slc, UT
- Zip : 84104-3539
- Fax : (801) 973-6985
- Phone : (801) 973-2588
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 8021622-8900 | UT |
National Provider Identifier
| NPI | 1063863876 |
|---|---|
| Provider Name | Brent Lee Thompson |
| First Address | Slc, UT 84104-3539 |
| Second Address | Slc, UT 84104-3539 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2016 |
| Last Update Date | 23/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.