MEDICARE: CHARLENE MOSLEY

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
1	172V00000X	Community Health Worker		UT

General Provider Information

NPI Number	:	1669243903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLENE MOSLEY

Provider Business Mailing Address
First Line	:	3725 W 4100 S STE 201
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-5427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1009 E MURRAY HOLLADAY RD
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-4921
Country	:	US
Telephone Number	:	801-263-7115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	01/15/2024

Similar Medicare Providers

1700949195 — ELDERLY MANOR ASSISTED LIVING
Practice Location Address:

1009 MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921

Practice Phone: 801-268-6342
Practice Fax: 801-576-1372

1992434864 — AMBER REICH
Practice Location Address:

1009 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921

Practice Phone: 801-263-7115
Practice Fax:

1366219156 — VENEZIA CANO-REYES
Practice Location Address:

1009 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921

Practice Phone: 888-949-4864
Practice Fax:

1013771799 — JOSHUA RILEY
Practice Location Address:

1009 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921

Practice Phone: 801-263-7115
Practice Fax:

1508616210 — MARCUS NELONS
Practice Location Address:

1009 E MURRAY HOLLADAY RD
SALT LAKE CITY, UT
84117-4921

Practice Phone: 801-263-7115
Practice Fax:

1598206625 — DR. MARCUS ANDERSON DPT
Practice Location Address:

2172 SE BAYA DR STE 102
LAKE CITY, FL
32025-4921

Practice Phone: 386-243-0592
Practice Fax:

Directions to “ CHARLENE MOSLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.