NPI 1073761094 · live from the CMS NPI Registry
Natalie Johnson Despain, Au.D.
Audiologist in Riverton, UT. National Provider Identifier 1073761094, active.
NPI record
| NPI | 1073761094 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 3773 W 12600 S Ste 102, Riverton, UT 84065 |
| Practice phone | 801-662-3277 |
| Mailing address | 618 W Winchester St, Murray, UT 84123 |
| Enumerated | September 3, 2008 |
| Last updated | December 3, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | DA4580 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.