Individual provider · Type 1 NPI

Brooke Nutt, CMHC INTERN

Student in an Organized Health Care Education/Training Program · Tooele, UT

NPI number 1619788015 Active

Practice location

60 S Main St Ste 6
Tooele, UT 84074-2136

Call (435) 255-6150 Map

Fax (435) 938-7151

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 1619788015

Brooke Nutt, CMHC INTERN's National Provider Identifier is 1619788015, issued on Jan 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tooele, UT. The record was last updated on Jan 15, 2025.