IndividualActive
Brianna Lastre, DNP, WHNP, CNM
NPI 1194157123 · Women's Health Nurse Practitioner · Pleasant Grove, UT
Provider details
- NPI number
- 1194157123
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, WHNP, CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 7247318-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1446 W Pleasant Grove Blvd.
Pleasant Grove, UT 84062
Phone: (801) 785-5100
Approximate (ZIP-level) locationGet directions
Mailing address
1446 W Pleasant Grove Blvd.
Pleasant Grove, UT 84062
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2013-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.