Individual provider · Type 1 NPI

Dalton Lee Braathen

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1184363384 Active

Practice location

30 N 1900 E
Salt Lake City, UT 84132-0006

Mailing address

6159 W Heritage Hill Dr
Herriman, UT 84096-7254

Other practice locations

  • 30 N 1900 E, Salt Lake City, UT 84132-0002 · (801) 581-7498

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184363384

Dalton Lee Braathen's National Provider Identifier is 1184363384, issued on Jun 3, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 3, 2022.