Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Prusse

Individual provider Case Manager/Care Coordinator · NPI 1023905924

Ethan Prusse is a Case Manager/Care Coordinator in Tooele, Utah. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

100 S 1000 W
Tooele, UT 84074-4010
Phone: (888) 949-4864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence F25-125714 (UT)

Record details

NPI number1023905924
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2025
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

Other providers in Tooele