IndividualActive
Breanna Bodle
NPI 1780535104 · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
Provider details
- NPI number
- 1780535104
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
530 S Wakara Way
Salt Lake City, UT 84108-1213
Phone: (801) 587-6453
Approximate (ZIP-level) locationGet directions
Mailing address
530 S Wakara Way
Salt Lake City, UT 84108-1213
Registry dates
- Enumerated
- 2026-02-04
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.