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NPI Code Detail

MEDICARE: BRITTANY NICOLE RICH

MEDICARE: BRITTANY NICOLE RICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist13663600-3904UT

General Provider Information

NPI Number : 1972254779
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY NICOLE RICH
Provider Business Mailing Address
First Line : 9995 E GOODSON LN
Second Line :
City : SAN TAN VALLEY
State : AZ
Zip : 85143-5530
Country : US
Telephone Number : 559-864-5337
Fax Number :
Provider Business Practice Location Address
First Line : 1570 N MAIN ST
Second Line :
City : SPANISH FORK
State : UT
Zip : 84660-1006
Country : US
Telephone Number : 801-210-9319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2022
Last Update Date : 02/07/2024

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Directions to “ BRITTANY NICOLE RICH ” Practice Location

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