Alexis Kirah Sullivan

Peer Specialist · Provo, UT

Individual Active NPI

NPI number 1871181248

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677
Phone
(801) 373-4760
Fax
(801) 373-0639

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NPI record

NPI
1871181248
Entity type
Individual (Type 1)
Enumeration date
January 1, 2021
Last updated
January 1, 2021
Certified
January 1, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Alexis Sullivan

Alexis Kirah Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 750 N Freedom Blvd, Provo, UT 84601-1677. The NPI number 1871181248 was assigned on January 1, 2021 and the record was last updated on January 1, 2021.

Frequently asked questions

What is the NPI number of Alexis Kirah Sullivan?

The NPI number is 1871181248.

What is the phone number of Alexis Sullivan?

The phone number listed for the practice location is (801) 373-4760.

Where is Alexis Sullivan located?

750 N Freedom Blvd, Provo, UT 84601-1677.

What is the taxonomy code for Alexis Sullivan?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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