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NPI Code Detail

MEDICARE: MAURINNE AMOSA

MEDICARE: MAURINNE AMOSA
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
1171M00000XCase Manager/Care CoordinatorUT

General Provider Information

NPI Number : 1548104888
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURINNE AMOSA
Provider Business Mailing Address
First Line : 12760 S PARK AVE
Second Line :
City : RIVERTON
State : UT
Zip : 84065-3400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12760 S PARK AVE UNIT 520
Second Line :
City : RIVERTON
State : UT
Zip : 84065-3422
Country : US
Telephone Number : 801-382-8413
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ MAURINNE AMOSA ” Practice Location

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