Marcus Le'Iato Tuilaepa Ah Kuoi
Individual provider Active NPI Case Manager/Care Coordinator · Provo, UT
NPI 1053196857 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1053196857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 750 N Freedom Blvd
Provo, UT 84601-1677 - Phone
- (801) 373-4760
- NPI assigned
- Aug 29, 2023
- Sex
- Male
- 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
750 N Freedom Blvd
Provo, UT 84601-1677
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other providers in Provo, UT
- Affinity Guidance Services, Inc
- Tammy Maga Afualo
- Kaytlin Shino Agate
- Luis Rolando Agrada
- Fredrick Agyin Jr.
- Max Ah Quin
- Mary Harrison Ahlander
- Stratton David Ahlborn
- Angelica Ahuna
- James Ahuna
All providers in Provo, 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 Aug 29, 2023. 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.