Lundquist, Breanna

Lundquist, Breanna is an sole proprietor health care provider with primary practice located at 45 W Sego Lily Dr Ste 312 , Sandy UT 84070-3643. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lundquist, Breanna can be contacted via phone (801) 676-9452.

Contact Information

Primary practice address
45 W Sego Lily Dr Ste 312 Sandy UT 84070-3643
Phone: (801) 676-9452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 9813075-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9813075-4405 Utah

Profile Details

NPI number 1427660042
LBN Legal business name Lundquist, Breanna
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2020
Last updated Feb 27th, 2023 - about 3 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 1427660042 NPPES
Utah Other 9813075-8900 APRN CONTROLLED SUBSTANCE SCHEDULE 2-5
Utah Other 2022094133 APRN CONTROLLED SUBSTANCE SCHEDULE 2-5
Utah Other 9813075-3102 APRN CONTROLLED SUBSTANCE SCHEDULE 2-5
Utah Other 981375-4405 APRN CONTROLLED SUBSTANCE SCHEDULE 2-5

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