Individual provider · Type 1 NPI

Thomas Adam Braithwaite, RN

Diabetes Educator Registered Nurse · Provo, UT

NPI number 1639444045 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Call (801) 357-7546 Map

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

Taxonomy	Code	License
Diabetes Educator Registered Nurse Primary	163WD0400X	5533931-3102 (UT)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1639444045

Thomas Adam Braithwaite, RN's National Provider Identifier is 1639444045, issued on Mar 19, 2012. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Provo, UT. The record was last updated on Mar 19, 2012.