Rosanna Marie Worthen
Peer Specialist in Provo, UT. Individual provider (NPI-1).
NPI number1841908712
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1841908712
- Entity type
- Individual (NPI-1)
- Name
- Rosanna Marie Worthen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2022
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | F21-102073 | UT | Yes |
Practice location
750 N Freedom Blvd Ste 300Provo, UT 84601-1690
Phone 801-373-4760
Mailing address
750 N Freedom Blvd Ste 300Provo, UT 84601-1690
Phone 801-373-4760
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All 63 Peer Specialist providers in Provo · All 6,098 providers in Provo
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