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NPI Code Detail

MEDICARE: CATHERINE WHITE

MEDICARE:   CATHERINE  WHITE
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1962108183
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE WHITE
Provider Business Mailing Address
First Line : 4460 S HIGHLAND DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84124-3543
Country : US
Telephone Number : 888-949-4864
Fax Number :
Provider Business Practice Location Address
First Line : 3737 W 4100 S
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84129
Country : US
Telephone Number : 888-949-4864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2023
Last Update Date : 01/31/2023

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Directions to “ CATHERINE WHITE ” Practice Location

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