Provider Demographics
NPI:1336944776
Name:PACHECO, BRITTANY SUE (PMHNP-C)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:SUE
Last Name:PACHECO
Suffix:
Gender:F
Credentials:PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 N KAYS DR
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-4137
Mailing Address - Country:US
Mailing Address - Phone:385-382-1555
Mailing Address - Fax:877-851-4180
Practice Address - Street 1:498 N KAYS DR
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-4137
Practice Address - Country:US
Practice Address - Phone:385-382-1555
Practice Address - Fax:877-851-4180
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11498993-4405363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health