IndividualActive
Brian Neilson
NPI 1174929996 · Peer Specialist · South Salt Lake, UT
Provider details
- NPI number
- 1174929996
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
3269 S Main St Ste 110
South Salt Lake, UT 84115-3789
Phone: (801) 638-2823
Approximate (ZIP-level) locationGet directions
Mailing address
3269 S Main St Ste 110
South Salt Lake, UT 84115-3789
Registry dates
- Enumerated
- 2014-11-05
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.