ETHAN ANDERSON

Case Manager/Care Coordinator

Active Individual
NPI: 1538033857

Practice Address

1157 E 300 N
Provo, UT 84606

Phone: (801) 852-2131

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1538033857 is the National Provider Identifier for ETHAN ANDERSON, a Case Manager/Care Coordinator provider located in Provo, UT. This NPI was enumerated on September 30, 2025.
ETHAN ANDERSON practices at 1157 E 300 N, Provo, UT 84606.

Quick Facts

NPI
1538033857
Type
Individual
Enumerated
Sep 30, 2025
Last Updated
Sep 30, 2025

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