Individual provider · Type 1 NPI

Brecken Dewey Moore, FNP

Nurse Practitioner · Sandy, UT

NPI number 1336830108 Active

Practice location

7410 S Creek Rd Ste 100
Sandy, UT 84093-6151

Mailing address

1004 W Tuscany View Rd Unit 1705
Midvale, UT 84047-4826

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X120502688900 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

7 other providers at this address

Other nurse practitioner providers in Sandy

See all in Sandy →

About NPI 1336830108

Brecken Dewey Moore, FNP's National Provider Identifier is 1336830108, issued on May 15, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sandy, UT. The record was last updated on Sep 11, 2025.