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

Nantana Khamphasithivong

Individual provider Case Manager/Care Coordinator · NPI 1073194262

Nantana Khamphasithivong is a Case Manager/Care Coordinator in Salt Lake City, Utah. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

344 E 100 S
Salt Lake City, UT 84111-1700
Phone: (801) 322-3222
Show map & directions

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 number1073194262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

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