Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FIDIAS A PENATE II
Active Sole ProprietorFIDIAS A PENATE II is a Community Health Worker healthcare provider located in LEHI, Utah. NPI 1093331142 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · LEHI, UT
Registration Details
- NPI Number
- 1093331142
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2020 (6.1799577842626 yrs)
- Last Updated
- Jun 24, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
4735 NORTH THANKSGIVING WAYLEHI, UT, 84043Browse UT providers · Browse ZIP 84043
- Phone
- 8018859595
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in LEHI, UT
| Name | Credential | NPI |
|---|---|---|
| TY H JAMES MARTIN | — | 1265879845 |
| COLLIN MCINELLY | — | 1871145706 |
| ANNALISE STEELE | — | 1689221913 |
| NEFI REYES | — | 1740827716 |
| MICHAEL JENSEN | — | 1386282853 |
| ILENE HENINGER | — | 1619506284 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.