ALISSA GEONZON
NPI 1376413716
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Active since November 10, 2025
196 W VINE ST APT A509, SALT LAKE CITY, UT 84107(808) 728-9181 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alissa Geonzon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISSA GEONZON (NPI 1376413716) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since November 2025.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1376413716
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALISSA GEONZON
Location Address196 W VINE ST APT A509Salt Lake City, UT 84107-5430
Mailing Address196 W Vine St Apt A509Salt Lake City, UT 84107-5430
Sole ProprietorNo
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
NPI 1376413716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

196 W VINE ST APT A509, Salt Lake City, UT 84107

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376413716, enumerated as an "individual" on November 10, 2025.

The provider is located at 196 W VINE ST APT A509 SALT LAKE CITY, UT 84107 and the phone number is (808) 728-9181.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.