Tillotson, Shadrick Wyatt

Tillotson, Shadrick Wyatt is an individual health care provider with primary practice located at 2901 W Blue Grass Blvd Ste 200 , Lehi UT 84043-4190. He 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 his primary health care specialty. Tillotson, Shadrick Wyatt can be contacted via phone (385) 510-5150.

Contact Information

Primary practice address
2901 W Blue Grass Blvd Ste 200 Lehi UT 84043-4190
Phone: (385) 510-5150
Fax: (866) 748-5235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6223314-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 6223314-4405 Utah

Profile Details

NPI number 1528514809
LBN Legal business name Tillotson, Shadrick Wyatt
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated Apr 2nd, 2024 - about 8 months 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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