IndividualActive
Thomas Braithwaite, RN
NPI 1639444045 · Diabetes Educator Registered Nurse · Provo, UT
Provider details
- NPI number
- 1639444045
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 5533931-3102 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7546
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 30180
Salt Lake City, UT 84130-0180
Registry dates
- Enumerated
- 2012-03-19
- Last updated
- 2012-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.