Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHADRICK WYATT TILLOTSON, PMHNP-BC
ActiveMR. SHADRICK WYATT TILLOTSON, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LEHI, Utah. NPI 1528514809 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LEHI, UT
Registration Details
- NPI Number
- 1528514809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2016 (9.9216478168144 yrs)
- Last Updated
- Apr 2, 2024
- Licenses
-
6223314-4405 (UT)6223314-4405 (UT)
Practice Information
- Address
-
2901 W BLUE GRASS BLVD STE 200LEHI, UT, 840434190Browse UT providers · Browse ZIP 84043
- Phone
- 3855105150
- Fax
- 8667485235
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in LEHI, UT
| Name | Credential | NPI |
|---|---|---|
| DR. MARIANNE HAINES | DNP | 1851585988 |
| JENNIFER D ZEER | CNM WHNP | 1659603579 |
| FERNANDA LEITE JOHNSTON | — | 1104133065 |
| TANNER JOHN MANWARING | DNP, PMHNP-BC | 1275197196 |
| JONATHAN BOATWRIGHT | — | 1649832775 |
| COLBY KENT HARRIS | PMHNP | 1629663109 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.