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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHALISE TINA WILSON

Active Sole Proprietor

SHALISE TINA WILSON is a Community Health Worker healthcare provider located in CEDAR CITY, Utah. NPI 1700391182 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · CEDAR CITY, UT

Registration Details

NPI Number
1700391182
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2017 (8.6582769880241 yrs)
Last Updated
May 9, 2024
Sole Proprietor
Yes

Practice Information

Address
245 E 680 S
CEDAR CITY, UT, 847203593
Browse UT providers · Browse ZIP 84720
Phone
4358677654
Fax
4358677699
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in CEDAR CITY, UT

Name Credential NPI
MILES GRAFF 1912486382
ASHTON ROSE BARNEY 1760017776
MR. RUBEN TOGISALA 1588273007
JOSEPH DEVITO II 1265041784
JADEN DEE PARK 1730798174
JOSEPH CHARLES LYDON 1215546759
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.