Individual provider · Type 1 NPI
Tamara Lynn Broadhead, APRN
Psychiatric/Mental Health Nurse Practitioner · South Jordan, UT
NPI number
1124548789
Active
Practice location
10294 S Royal Vista Cv
South Jordan, UT 84095-3045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7096258-4405 (UT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 7096258-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124548789
Tamara Lynn Broadhead, APRN's National Provider Identifier is 1124548789, issued on Jun 26, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in South Jordan, UT. The record was last updated on Sep 28, 2022.