Provider Demographics
NPI:1912494675
Name:PALOMBO, BRITNEY MARIE (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:MARIE
Last Name:PALOMBO
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-2631
Mailing Address - Country:US
Mailing Address - Phone:801-900-4670
Mailing Address - Fax:801-996-7123
Practice Address - Street 1:110 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-2631
Practice Address - Country:US
Practice Address - Phone:801-900-4670
Practice Address - Fax:801-996-7123
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7996396-3102163WP0808X
UT7996396-4405363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health