Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addison Clevenger

Individual provider Case Manager/Care Coordinator · NPI 1073403309

Addison Clevenger is a Case Manager/Care Coordinator in Provo, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1165 E 300 N
Provo, UT 84606-3539
Phone: (801) 319-1142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1073403309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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