Provider Demographics
NPI:1740829795
Name:OPENSHAW, HINANUI BIRGITTE
Entity type:Individual
Prefix:
First Name:HINANUI
Middle Name:BIRGITTE
Last Name:OPENSHAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HINANUI
Other - Middle Name:BIRGITTE
Other - Last Name:CHEUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1453 E ANNIE LACE WAY
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7508
Mailing Address - Country:US
Mailing Address - Phone:385-232-1835
Mailing Address - Fax:
Practice Address - Street 1:6910 S HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84121-3060
Practice Address - Country:US
Practice Address - Phone:385-232-1835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-21
Last Update Date:2019-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician