Healthcare Provider Details

I. General information

NPI: 1699403154
Provider Name (Legal Business Name): BRITTNEY BATCHO CASEY APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

654 S 900 E
SALT LAKE CITY UT
84102-3430
US

IV. Provider business mailing address

4273 ORCHARD AVE
OGDEN UT
84403-2830
US

V. Phone/Fax

Practice location:
  • Phone: 801-322-5571
  • Fax:
Mailing address:
  • Phone: 937-838-8247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number12952135-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: