Pamala Kay Ashworth-Colledge

Individual provider Active NPI Case Manager/Care Coordinator · Salt Lake City, UT

NPI 1104581313 · NPPES record last updated Nov 2, 2021

Key facts

NPI
1104581313
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
344 E 100 S
Salt Lake City, UT 84111-1700
Phone
(801) 654-2834
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
Yes

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

344 E 100 S
Salt Lake City, UT 84111-1700

Mailing address

344 E 100 S
Salt Lake City, UT 84111-1700
Phone (801) 654-2834

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Case Manager/Care Coordinator in Utah

Sources for this page

Verify at the official NPI Registry.