Healthcare Provider Details

I. General information

NPI: 1043892482
Provider Name (Legal Business Name): VALERIE FRIANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 E TABERNACLE ST
SAINT GEORGE UT
84770-2978
US

IV. Provider business mailing address

249 E TABERNACLE ST
SAINT GEORGE UT
84770-2978
US

V. Phone/Fax

Practice location:
  • Phone: 435-705-7574
  • Fax:
Mailing address:
  • Phone: 801-255-5131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: