Annamarie Irene Breen, NP | |
5991 S 3500 W Ste 400, Roy, UT 84067-6702 | |
(801) 845-4911 | |
(216) 279-8556 |
Full Name | Annamarie Irene Breen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 5991 S 3500 W Ste 400, Roy, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720442775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 7313401-4405 (Utah) | Primary |
Entity Name | Physician Group Of Utah Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
Mailing Address | Practice Location Address |
---|---|
Annamarie Irene Breen, NP 5991 S 3500 W Ste 400, Roy, UT 84067-6702 Ph: (801) 845-4911 | Annamarie Irene Breen, NP 5991 S 3500 W Ste 400, Roy, UT 84067-6702 Ph: (801) 845-4911 |
Tiffany Ann Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5305 S 1900 W, Roy, UT 84067 Phone: 801-825-5648 | |
Mrs. Jenelle Marie Jensen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3443 W 5600 S, Roy, UT 84067 Phone: 801-773-4840 | |
Mark Roland Nickle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5305 S 1900 W, Roy, UT 84067 Phone: 801-825-5648 | |
Jerrica Elizabeth Stoddard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5640 S 3500 W, Roy, UT 84067 Phone: 801-773-2838 Fax: 801-773-3025 | |
Marie Jo Borres, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2211 W 5100 S, Roy, UT 84067 Phone: 801-884-9154 | |
Mr. Phil H Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Emily Shanafelt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 |