Wall, Brenna Mackenzie

Wall, Brenna Mackenzie is an individual health care provider with primary practice located at 1726 S Buckley Ln , Provo UT 84606-5031. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Wall, Brenna Mackenzie can be contacted via phone (801) 373-6562.

Contact Information

Primary practice address
1726 S Buckley Ln Provo UT 84606-5031
Phone: (801) 373-6562
Fax: (801) 375-9225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1942917091
LBN Legal business name Wall, Brenna Mackenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2022
Last updated Oct 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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