Individual provider · Type 1 NPI

Tyler Ashton Bridgewater, FNP-C

Family Nurse Practitioner · Bountiful, UT

NPI number 1215378377 Active

Practice location

401 S 400 E
Bountiful, UT 84010-4933

Call (801) 295-2361 Map

Mailing address

976 Foxboro Dr
North Salt Lake, UT 84054-6002

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	7078841-4405 (UT)

Family Nurse Practitioner: Definition to come...

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Ellison M. Kruckenberg, COTA/LOccupational Therapy Assistant Bountiful, UT NPI 1386100402
Esther Juliene Grandy, TRS, CTRSRecreation Therapist Bountiful, UT NPI 1174352173
Isabel Jones, OTR/LOccupational Therapist Bountiful, UT NPI 1740172501
Jay D. Parker, OTR LOccupational Therapist Bountiful, UT NPI 1356415939
Jennifer M. Bangs, OTD OTR LOccupational Therapist Bountiful, UT NPI 1871667451
Kade WhittleOccupational Therapy Assistant Bountiful, UT NPI 1649161704
Kristen Judith MalebranchePhysical Therapist Bountiful, UT NPI 1376447227

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About NPI 1215378377

Tyler Ashton Bridgewater, FNP-C's National Provider Identifier is 1215378377, issued on Jul 17, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bountiful, UT. The record was last updated on Jul 17, 2013.