MR. Shadrick Wyatt Tillotson, PMHNP-BC is a psychiatric/mental health nurse practitioner in Lehi, UT with 9 years of experience. MR. Shadrick Wyatt Tillotson, PMHNP-BC NPI is 1528514809. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2901 W BLUE GRASS BLVD STE 200
LEHI, UT
ZIP 84043-190
Phone: (385) 510-5150
Fax: (866) 748-5235
The NPI 1528514809 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/28/2016 and was last updated on 4/2/2024.