Alisa Alexandria Meshkova

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

NPI 1275014169 · NPPES record last updated Aug 28, 2018

Key facts

NPI
1275014169
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3809 W 6200 S
Kearns, UT 84124
Phone
(888) 949-4864
NPI assigned
Aug 28, 2018
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

3809 W 6200 S
Kearns, UT 84124

Mailing address

4460 S Highland Dr
Salt Lake City, UT 84124-3503

Other providers in Kearns, UT

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

Sources for this page

Verify at the official NPI Registry.