IndividualActive
Mena Boley
NPI 1376340927 · Community Health Worker · Salt Lake City, UT
Provider details
- NPI number
- 1376340927
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
780 S Guardsman Way
Salt Lake City, UT 84108-1374
Phone: (888) 949-4864
Approximate (ZIP-level) locationGet directions
Mailing address
3725 W 4100 S Ste 201
West Valley City, UT 84120-5411
Registry dates
- Enumerated
- 2025-02-28
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.