Trista Larsen
Community Health Worker in St George, UT. Individual provider (NPI-1).
NPI number1609596352
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1609596352
- Entity type
- Individual (NPI-1)
- Name
- Trista Larsen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2022
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
249 E Tabernacle StSt George, UT 84770-2978
Phone 435-705-7574
Mailing address
249 E Tabernacle StSt George, UT 84770-2978
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All 631 Community Health Worker providers in St George · All 4,873 providers in St George
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