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NPI Code Detail

MEDICARE: MARLENE RIGGS

MEDICARE: MARLENE RIGGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker13194556-3501UT

General Provider Information

NPI Number : 1447861745
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE RIGGS
Provider Business Mailing Address
First Line : 3311 N UNIVERSITY AVE STE 200
Second Line :
City : PROVO
State : UT
Zip : 84604-7421
Country : US
Telephone Number : 801-870-6656
Fax Number :
Provider Business Practice Location Address
First Line : 3311 N UNIVERSITY AVE STE 200
Second Line :
City : PROVO
State : UT
Zip : 84604-7421
Country : US
Telephone Number : 801-870-6656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2020
Last Update Date : 02/12/2026

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