MISTY MADDERA NPI 1770128597

NPI Information

Misty Maddera is a peer specialist in Bluffdale, UT. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Misty Maddera NPI is 1770128597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15257 S SCENIC CREST CIR
BLUFFDALE, UT
ZIP 84065-076
Phone: (801) 577-3086

The enumeration date for this NPI number is 11/15/2019 and was last updated on 11/15/2019.

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:

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