Pascale Brown

Individual provider Active NPI Peer Specialist · Midvale, UT

NPI 1003546359 · NPPES record last updated Jun 10, 2022

Key facts

NPI
1003546359
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
6771 S 900 E
Midvale, UT 84047-1436
Phone
(801) 515-4137
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

6771 S 900 E
Midvale, UT 84047-1436

Mailing address

6771 S 900 E
Midvale, UT 84047-1436

Other providers in Midvale, UT

All providers in Midvale, UT · Peer Specialist in Utah

Sources for this page

Verify at the official NPI Registry.