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

Tamera Lyn Derushia

Individual provider Community Health Worker · NPI 1770079089

Tamera Lyn Derushia is a Community Health Worker in Salt Lake City, Utah. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

4125 S 900 E
Salt Lake City, UT 84124-1112
Phone: (801) 743-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1770079089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESJuly 10, 2018

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