Individual
REBECCA RAE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 W 3350 S, WEST VALLEY CITY, UT 84119-3307
(801) 322-1001
Mailing address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(385) 200-0110
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
Primary
—
UT
Other
Enumeration date
12/23/2024
Last updated
07/24/2026
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