Broadhead, Tamara Lynn
Broadhead, Tamara Lynn is an individual health care provider with primary practice located at 10294 S Royal Vista Cv , South Jordan UT 84095-3045. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Broadhead, Tamara Lynn can be contacted via phone (817) 319-9475.Contact Information
Primary practice address
10294 S Royal Vista Cv
South Jordan UT 84095-3045
Phone: (817) 319-9475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7096258-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 7096258-4405 | Utah |
Profile Details
| NPI number | 1124548789 |
|---|---|
| LBN Legal business name | Broadhead, Tamara Lynn |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2017 |
| Last updated | Sep 28th, 2022 - about 4 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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