NPI 1619788015
Brooke Nutt, CMHCINTERN
Practice location
- Address
- 60 S Main St STE 6, Tooele, UT 84074-2136
- Phone
- (435) 255-6150
- Fax
- (435) 938-7151
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1619788015
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Jan 2025
- Record last updated
- 15 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.