Becker, Brenna W.

Becker, Brenna W. is an individual health care provider with primary practice located at 675 S Arapeen Dr # Dr205 , Salt Lake City UT 84108-1223. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Becker, Brenna W. can be contacted via phone (801) 581-3834.

Contact Information

Primary practice address
675 S Arapeen Dr # Dr205 Salt Lake City UT 84108-1223
Phone: (801) 581-3834
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN266912 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9811085-4405 Utah

Profile Details

NPI number 1578752614
LBN Legal business name Becker, Brenna W.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Oct 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578752614 NPPES
Massachusetts MEDICAID 0723673

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