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Tayler Nicole Braithwaite

Community Health Worker in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1891670592
StatusActive
Last updated in NPPESAug 11, 2025

Details

NPI
1891670592
Entity type
Individual (NPI-1)
Name
Tayler Nicole Braithwaite
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 11, 2025
Certification date
Aug 11, 2025
Last updated
Aug 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

117 W 400 S
Salt Lake City, UT 84101-1916

Phone 801-428-4257

Mailing address

117 W 400 S
Salt Lake City, UT 84101-1916

Phone 801-428-4257

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