IndividualActive
Audra Rysevas
NPI 1770437824 · Peer Specialist · Salt Lake City, UT
Provider details
- NPI number
- 1770437824
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- F25-117395 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
140 W 2100 S Ste 130b
Salt Lake City, UT 84115-1854
Phone: (801) 896-7930
Approximate (ZIP-level) locationGet directions
Mailing address
140 W 2100 S Ste 130b
South Salt Lake, UT 84115-1854
Registry dates
- Enumerated
- 2026-02-25
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.