LEILANI FIFITA NPI 1720573975

NPI Information

NPI: 1720573975
Provider Name: LEILANI FIFITA
Classification: Clinical Nurse Specialist - 364SH0200X
Entity Type: Individual

Specialization: Home Health

Address:
1157 S REDWOOD DR
SALT LAKE CITY, UT
ZIP 84104
Phone: (385) 528-9143
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Leilani Fifita is a home health clinical nurse specialist in Salt Lake City, UT. Leilani Fifita NPI is 1720573975. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1157 S REDWOOD DR
SALT LAKE CITY, UT
ZIP 84104-328
Phone: (385) 528-9143

The enumeration date for this NPI number is 6/28/2018 and was last updated on 6/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SH0200X	Clinical Nurse Specialist	Home Health	LIC201801499	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LIC201801499	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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