IndividualActive
Tavia Mims
NPI 1639890189 · Attendant Care Provider · Salt Lake City, UT
Provider details
- NPI number
- 1639890189
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
814 W 800 S Apt C
Salt Lake City, UT 84104-1491
Phone: (801) 657-2920
Approximate (ZIP-level) locationGet directions
Mailing address
814 W 800 S Apt C
Salt Lake City, UT 84104-1491
Registry dates
- Enumerated
- 2022-09-02
- Last updated
- 2022-09-02
- Certified
- 2022-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.