OrganizationActive
Anew Clinical Practitioners PLLC
NPI 1689145963 · Psychiatric/Mental Health Nurse Practitioner · Draper, UT
Provider details
- NPI number
- 1689145963
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tamara Broadhead, Owner/Medical Director(801) 654-3229
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11762 S State St Ste 160
Draper, UT 84020-7174
Phone: (801) 654-3229
Approximate (ZIP-level) locationGet directions
Mailing address
11762 S State St Ste 160
Draper, UT 84020-7174
Registry dates
- Enumerated
- 2018-12-11
- Last updated
- 2020-06-17
- Certified
- 2020-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.