Individual provider · Type 1 NPI
Shadrick Wyatt Tillotson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Lehi, UT
NPI number
1528514809
Active
Practice location
2901 W Blue Grass Blvd Ste 200
Lehi, UT 84043-4190
Fax (866) 748-5235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6223314-4405 (UT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 6223314-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Carlene Peters, PMHNPPsychiatric/Mental Health Nurse Practitioner Lehi, UT NPI 1225873532
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About NPI 1528514809
Shadrick Wyatt Tillotson, PMHNP-BC's National Provider Identifier is 1528514809, issued on Aug 28, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lehi, UT. The record was last updated on Apr 2, 2024.