Breanna Rose, M.S

NPI 1942260401 · on the registry since 2006

Practice

Address: 415 Medical Dr Ste D101
Bountiful, UT 84010
Phone: (801) 683-1062
Organisation at this address: Luekenga Way, Llc
Squire Boys, Inc.
Restore Counseling
Joe R Nielsen Md Pc
Gulso Podiatry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 403

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah