Ethan Anderson
Ethan Anderson 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
1157 E 300 NProvo, UT 84606-3539
Phone: (801) 852-2131
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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 number | 1538033857 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 30, 2025 |
| Last updated in NPPES | September 30, 2025 |
| Certification date | September 30, 2025 |
| Mailing address | 750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 |
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