Individual provider · Type 1 NPI

Bronwyn Deforest

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

NPI number 1205701422 Active

Practice location

1850 E 250 S, Hper West, Room 113
Salt Lake City, UT 84112

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 1205701422

Bronwyn Deforest's National Provider Identifier is 1205701422, issued on Oct 7, 2025. 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 Oct 7, 2025.