IndividualActive
Anita Brandow
NPI 1306663497 · Critical Care Neonatal Nurse Practitioner · Provo, UT
Provider details
- NPI number
- 1306663497
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9697380-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
1034 N 500 W
Provo, UT 84604-3337
Phone: (801) 357-7414
Approximate (ZIP-level) locationGet directions
Mailing address
450 E 900 S
Springville, UT 84663-2526
Registry dates
- Enumerated
- 2024-09-20
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.