August Marie Moulton

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

NPI 1750116414 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1750116414
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3740 W Market Center Dr # 1200
Bluffdale, UT 84065-8026
Phone
(801) 240-9433
NPI assigned
Sep 3, 2024
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
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3740 W Market Center Dr # 1200
Bluffdale, UT 84065-8026

Mailing address

3459 W Newland Loop
Lehi, UT 84043-4601

Other providers in Bluffdale, UT

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

Sources for this page

Verify at the official NPI Registry.