| Anderson Wellness Group Llc | |
|
9533 S 700 E Ste 203 Sandy UT 84070-3456 | |
| (801) 792-1034 | |
| Not Available |
| Full Name | Anderson Wellness Group Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 9533 S 700 E Ste 203, Sandy, Utah |
| Authorized Official Name and Position | Sumer Dawn Anderson (APRN) |
| Authorized Official Contact | 8016769452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Wellness Group Llc 9533 S 700 E Ste 203 Sandy UT 84070-3456 Ph: (801) 792-1034 | Anderson Wellness Group Llc 9533 S 700 E Ste 203 Sandy UT 84070-3456 Ph: (801) 792-1034 |
| NPI Number | 1245793249 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 05/28/2019 |
| Medicare PECOS PAC ID | 9335550631 |
|---|---|
| Medicare Enrollment ID | O20201117002171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245793249 | NPI | - | NPPES |
| 1992071559 | Medicaid | UT |
| Provider Name | Sumer D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992071559 PECOS PAC ID: 3678812047 Enrollment ID: I20190301000042 |
| Provider Name | Kim Marie Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003302548 PECOS PAC ID: 6002242492 Enrollment ID: I20200203001755 |
| Provider Name | Vanessa Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407473846 PECOS PAC ID: 5193131530 Enrollment ID: I20210309001921 |
| Provider Name | Tiffany A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780278465 PECOS PAC ID: 5799182978 Enrollment ID: I20210930002741 |
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