Wandalyn Faye Bornemann
Individual provider Active NPI Case Manager/Care Coordinator · Blanding, UT
NPI 1023901337 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1023901337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 735 S 200 W Ste 1
Blanding, UT 84511-3923 - Phone
- (435) 678-2992
- Fax
- (435) 678-3116
- NPI assigned
- Jun 3, 2025
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
735 S 200 W Ste 1
Blanding, UT 84511-3923
Mailing address
735 S 200 W Ste 1
Blanding, UT 84511-3923
Phone (435) 678-2992
Other providers in Blanding, UT
- Blue Mountain Hospital
- Blue Mountain Hospital
- Blue Mountain Hospital
- Blue Mountain Hospital Dialysis
- BMH Kidney Care LLC
- Jerald Bradford
- Benjamin Brewer
- Shontol Burkhalter
- Stephen Burton
- Brittney Jane Carlson
All providers in Blanding, UT · Case Manager/Care Coordinator in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.