Individual provider · Type 1 NPI

Ethan Prusse

Case Manager/Care Coordinator · Tooele, UT

NPI number 1023905924 Active

Practice location

100 S 1000 W
Tooele, UT 84074-4010

Call (888) 949-4864 Map

Mailing address

3725 W 4100 S Ste 201
West Valley City, UT 84120-6490

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator Primary 171M00000XF25-125714 (UT)

Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…

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About NPI 1023905924

Ethan Prusse's National Provider Identifier is 1023905924, issued on Jun 23, 2025. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in Tooele, UT. The record was last updated on Jul 2, 2026.