BREANN NICOLE BANFORD

TOOELE, UT
NPI1568908929
Former NameBREANN NICOLE ROWLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  7776134-4405)
Additional Taxonomies163W00000X Registered Nurse
(Licence: UT  7776134-3102)
Enumeration Date2017-01-10
Last Update Date2020-10-06
Business Address
BREANN NICOLE BANFORD APRN
2055 N MAIN ST
TOOELE, UT 84074-9819
Phone number: 358-433-6004
Mailing Address
BREANN NICOLE BANFORD APRN
14688 S ASTIN LN # Q204
HERRIMAN, UT 84096-2245
Phone number: 725-724-2310