Andrew Brice Heinecke, FNP-C | |
6807 S 3200 W, West Jordan, UT 84084-1828 | |
(801) 350-1065 | |
Not Available |
Full Name | Andrew Brice Heinecke |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 6807 S 3200 W, West Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447819974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 5606726-4405 (Utah) | Primary |
Entity Name | Ma Bo Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740461219 PECOS PAC ID: 1254399652 Enrollment ID: O20050103000257 |
Entity Name | Jordan Ridge Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770509754 PECOS PAC ID: 8820091473 Enrollment ID: O20060821000255 |
Mailing Address | Practice Location Address |
---|---|
Andrew Brice Heinecke, FNP-C 6807 S 3200 W, West Jordan, UT 84084-1828 Ph: (801) 350-1065 | Andrew Brice Heinecke, FNP-C 6807 S 3200 W, West Jordan, UT 84084-1828 Ph: (801) 350-1065 |
Peggy Anne Jerome, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8537 Redwood Rd, Suite A - Main Level, West Jordan, UT 84088 Phone: 801-568-2898 | |
Megan Bliss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 | |
Gaylinn Breeze, APRN, AGPCNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7093 S 2980 W, West Jordan, UT 84084 Phone: 801-554-2849 | |
Elizabeth Huser, FNP-BC, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 S Redwood Rd, West Jordan, UT 84084 Phone: 000-000-0000 | |
Karty Dormera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3895 W 7800 S Ste 100, West Jordan, UT 84088 Phone: 801-280-7774 Fax: 801-748-2790 | |
Kim Sundstrom, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9289 S Redwood Rd Ste C, West Jordan, UT 84088 Phone: 801-568-2898 | |
Bari Michelle King, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3570 W 9000 S, Suite, 100, West Jordan, UT 84088 Phone: 801-569-1999 Fax: 801-569-2001 |