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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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