Brenden Smith
Community Health Worker in Ephraim, UT. Individual provider (NPI-1).
NPI number1265122170
StatusActive
Last updated in NPPESJul 10, 2026
Details
- NPI
- 1265122170
- Entity type
- Individual (NPI-1)
- Name
- Brenden Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 12, 2023
- Certification date
- Jul 10, 2026
- Last updated
- Jul 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 226000000X | Recreational Therapist Assistant | – | – |
Practice location
390 W 100 NEphraim, UT 84627-2131
Phone 435-283-4065 · Fax 435-462-8407
Mailing address
152 N 400 WEphraim, UT 84627-5549
Phone 435-283-8400 · Fax 435-283-8401
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