TAMARA LYNN BROADHEAD

SOUTH JORDAN, UT
NPI1124548789
Former NameTAMARA LYNN OLDROYD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  7096258-4405)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: UT  7096258-4405)
Enumeration Date2017-06-26
Last Update Date2022-09-28
Business Address
TAMARA LYNN BROADHEAD APRN
10294 S ROYAL VISTA CV
SOUTH JORDAN, UT 84095-3045
Phone number: 817-319-9475
Mailing Address
TAMARA LYNN BROADHEAD APRN
10294 S ROYAL VISTA CV
SOUTH JORDAN, UT 84095-3045
Phone number: 817-319-9475