Miranda Anderson
Individual provider Active NPI Case Manager/Care Coordinator · SLC, UT
NPI 1144540352 · NPPES record last updated Jun 10, 2010
Key facts
- NPI
- 1144540352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 344 E 100 S
SLC, UT 84111-1700 - Phone
- (801) 428-3402
- NPI assigned
- Jun 10, 2010
- 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
344 E 100 S
SLC, UT 84111-1700
Mailing address
68 S 600 E
SLC, UT 84102-1007
Other providers in SLC, UT
- Renee Anderegg
- Molly Marie Andersen
- Jamie Anderson
- Katherine Alisa Anderson
- Mary Ann O Anderson
- Samantha Anderson
- Anne Freed LCSW LLC
- Melanie Mae Apgood
- Craig M Aramaki
- Nichol Marie Arego
All providers in SLC, 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 10, 2010. 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.