Dacey Aguirre

Individual provider Active NPI Community Health Worker · Salt Lake City, UT

NPI 1861157075 · NPPES record last updated Sep 9, 2022

Key facts

NPI
1861157075
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
4460 S Highland Dr
Salt Lake City, UT 84124-3543
Phone
(888) 949-4864
NPI assigned
Nov 2, 2021
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
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

4460 S Highland Dr
Salt Lake City, UT 84124-3543

Mailing address

4460 S Highland Dr
Salt Lake City, UT 84124-3543
Phone (888) 949-4864

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Community Health Worker in Utah

Sources for this page

Verify at the official NPI Registry.