Emi Maryn Blaser

Individual provider Active NPI Case Manager/Care Coordinator · Logan, UT

NPI 1073361663 · NPPES record last updated May 8, 2024

Key facts

NPI
1073361663
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
90 E 200 N
Logan, UT 84321-4034
Phone
(435) 752-0750
NPI assigned
May 8, 2024
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

90 E 200 N
Logan, UT 84321-4034

Mailing address

485 W 1400 N Apt 104
Logan, UT 84341-7090

Other providers in Logan, UT

All providers in Logan, UT · Case Manager/Care Coordinator in Utah

Sources for this page

Verify at the official NPI Registry.