IndividualActive
Brent Bullock, PMHNP, APRN
NPI 1649983198 · Psychiatric/Mental Health Nurse Practitioner · Orem, UT
Provider details
- NPI number
- 1649983198
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP, APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 8695221-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1688 N 210 E
Orem, UT 84057-2203
Phone: (385) 233-7689
Approximate (ZIP-level) locationGet directions
Mailing address
1688 N 210 E
Orem, UT 84057-2203
Additional practice locations (1)
- 1375 E 800 NOrem, UT 84097-4435Phone: (385) 382-1555Fax: (877) 851-4180
Registry dates
- Enumerated
- 2022-12-29
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.