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General NPI Number Information
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NPI Number | 1831841535
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Entity Type | Organization
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Legal Business Name | WESTBROEK FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 475 40TH ST STE 111
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City | OGDEN
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State | UT
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Zip | 84403-1856
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Country | US
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Telephone | 801-515-7997
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Fax | 385-333-7413
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Provider Business Mailing Address
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Address Line | 434 W ASCENSION WAY STE 425
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City | MURRAY
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State | UT
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Zip | 84123-3102
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Country | US
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Telephone | 801-515-7997
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Fax | 385-333-7413
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Authorized Official
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Title or Position | OWNER
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Name | RYAN LEE WESTBROEK
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Credential | FNP
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Telephone | 801-529-8935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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