Macey Mariah Durrant

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Holladay, UT

NPI 1225836661 · NPPES record last updated Mar 3, 2025

Key facts

NPI
1225836661
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
5077 S Sandpiper Dr Apt 562
Holladay, UT 84117-4712
Phone
(763) 221-8373
NPI assigned
Mar 3, 2025
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
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

5077 S Sandpiper Dr Apt 562
Holladay, UT 84117-4712

Mailing address

5077 S Sandpiper Dr Apt 562
Holladay, UT 84117-4712
Phone (763) 221-8373

Other providers in Holladay, UT

All providers in Holladay, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.