Melissa Ann Brewer, RN
Individual provider Active NPI Case Manager/Care Coordinator · SLC, UT
NPI 1720355100 · NPPES record last updated Nov 29, 2011
Key facts
- NPI
- 1720355100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 60445733102 (UT)
- Practice address
- 650 Komas Dr
200
SLC, UT 84108-1215 - Phone
- (801) 587-3855
- Fax
- (801) 581-7989
- NPI assigned
- Nov 29, 2011
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60445733102 | UT | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 60445733102 | UT | Yes |
Addresses
Primary practice location
650 Komas Dr
200
SLC, UT 84108-1215
Mailing address
650 Komas Dr
200
SLC, UT 84108-1215
Phone (801) 587-3855
Other providers in SLC, UT
- Patricia Bowen-Pearson
- Alylaura Bradley
- Annette S Brazell
- Breeze Hannaford LCSW PLLC
- Patricia Joan Brehl
- Sherry Bridge
- Brighton House LLC
- Edwin Brightwell
- Melanie Broadbent
- Regan K. Brooks
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 Nov 29, 2011. 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.