Individual provider · Type 1 NPI

Jake Anthony Lindberg Maranto

Physician Assistant · Provo, UT

NPI number 1144010380 Active

Practice location

395 W Cougar Blvd Ste 801
Provo, UT 84604-3311

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14226711-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1144010380

Jake Anthony Lindberg Maranto's National Provider Identifier is 1144010380, issued on May 10, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Dec 1, 2025.