Fifita, Leilani
Fifita, Leilani is an sole proprietor health care provider with primary practice located at 1157 S Redwood Dr , Salt Lake City UT 84104-3328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Home Health, which is considered as her primary health care specialty. Fifita, Leilani can be contacted via phone (385) 528-9143.Contact Information
Primary practice address
1157 S Redwood Dr
Salt Lake City UT 84104-3328
Phone: (385) 528-9143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Home Health | 364SH0200X | LIC201801499 | Utah |
Profile Details
| NPI number | 1720573975 |
|---|---|
| LBN Legal business name | Fifita, Leilani |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2018 |
| Last updated | Jun 28th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720573975 | NPPES |
| Utah | MEDICAID | LIC201801499 |
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