ANEW CLINICAL PRACTITIONERS PLLC
NPI 1689145963
Nurse Practitioner - Psychiatric/Mental Health in Draper, UT

Q: What is Anew Clinical Practitioners PLLC's NPI number?

The NPI number for Anew Clinical Practitioners PLLC is 1689145963. It was assigned to this organization in the NPPES registry on December 11, 2018.

Q: What is Anew Clinical Practitioners PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 11, 2018

11762 S STATE ST STE 160, DRAPER, UT 84020(801) 654-3229 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2020, May 16, 2019, Dec 11, 2018 (3 updates tracked since 2018).

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About Anew Clinical Practitioners Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANEW CLINICAL PRACTITIONERS PLLC (NPI 1689145963) is a healthcare organization registered as a psychiatric/mental health in Draper, Utah and active in the NPI registry since December 2018. The organization lists Tamara Lynn Broadhead, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1689145963

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameANEW CLINICAL PRACTITIONERS PLLC

Location Address11762 S STATE ST STE 160Draper, UT 84020-7174

Mailing Address11762 S State St Ste 160Draper, UT 84020-7174 · (801) 654-3229 · Fax (949) 404-6797

Phone(801) 654-3229

Organization SubpartNo

Authorized OfficialTamara Lynn BroadheadOwner/medical Director · (801) 654-3229

Enumeration DateDecember 11, 2018

Last NPPES UpdateJune 17, 20203 updates tracked since enumeration

NPPES CertifiedJune 17, 2020

✔ NPI 1689145963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

11762 S STATE ST STE 160, Draper, UT 84020

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLADE WOOLSTENHULME

Social Worker (Clinical)