IndividualActive
Brandon Thatcher, F.M.H.N.P
NPI 1669814505 · Psychiatric/Mental Health Nurse Practitioner · Provo, UT
Provider details
- NPI number
- 1669814505
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- F.M.H.N.P
- Sex
- Male
- Sole proprietor
- No
- License
- 7393923-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1750 N Wymount Terrace Dr
Provo, UT 84602-7600
Phone: (801) 422-5156
Approximate (ZIP-level) locationGet directions
Mailing address
1750 N Wymount Terrace Dr
Provo, UT 84602-7600
Registry dates
- Enumerated
- 2013-07-19
- Last updated
- 2017-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.