| Doctor Name: | GAYLINN BREEZE |
| NPI Number: | 1023412434 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, AGPCNP-C |
| License Number: | 283578-4405 |
| Business Practice Address: | 7093 S 2980 W West Jordan, UT - 840842963 |
| Business Phone Number: | 8015542849 |
| Business Fax Number: | |
| Mailing Address: | 7093 S 2980 W, WEST JORDAN |
| State: | UT |
| Postal Code: | 840842963 |
| Phone Number: | 8015542849 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2014 |
| NPI Last Update Date: | 10/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 283578-4405 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |