IndividualActive
Breeanna Holdaway, ACNP
NPI 1962749010 · Acute Care Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1962749010
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2012009665 (UT)
Practice location
8 Th Avenue & C St
Central Tower 5
Salt Lake City, UT 84143-0001
Phone: (801) 408-3617
Mailing address
1113 E 3580 S
Salt Lake City, UT 84106-2438
Registry dates
- Enumerated
- 2013-01-09
- Last updated
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.