MEDICARE: NATASHA MEINE WORKMAN

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	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710624689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA MEINE WORKMAN

Provider Business Mailing Address
First Line	:	344 E 100 S STE 301
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1727
Country	:	US
Telephone Number	:	801-428-4257
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 S 1300 E
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84102-3206
Country	:	US
Telephone Number	:	801-462-4582
Fax Number	:

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

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	05/12/2022

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Directions to “ NATASHA MEINE WORKMAN ” Practice Location

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