Marli Don Niederhauser
Individual provider Active NPI Community Health Worker · Harrisville, UT
NPI 1164091518 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1164091518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824 - Phone
- (877) 393-6232
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Youth Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824
Mailing address
2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824
Phone (877) 393-6232
Other providers in Harrisville, UT
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- Aspyn Eileen Munk
- Caryn Neilsen
- Kody Nelson
- Megan Gadd Nelson
- Alexandra Nitchman
- Whitney Lorene Ormsby
- Melissa Jean Orton
- M Shawn Palau
- Jessica Amber Patten
All providers in Harrisville, UT · Community Health Worker 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 21, 2021. 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.