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

Tiffany C Provost

Individual provider Case Manager/Care Coordinator · NPI 1609648542

Tiffany C Provost is a Case Manager/Care Coordinator in Draper, Utah. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

13691 S Brown Farm Ln
Draper, UT 84020-7809
Phone: (801) 987-0788
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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 number1609648542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 23, 2023
Mailing address7853 N Oakwood Dr, Eagle Mountain, UT 84005-7212

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