Armando Wayne Slack, RN | |
190 S Main St, Centerville, UT 84014 | |
(801) 614-8400 | |
Not Available |
Full Name | Armando Wayne Slack |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 190 S Main St, Centerville, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659572949 | NPI | - | NPPES |
Entity Name | Odyssey House Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033143706 PECOS PAC ID: 2365458833 Enrollment ID: O20060222000116 |
Mailing Address | Practice Location Address |
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Armando Wayne Slack, RN 190 S Main St, Centerville, UT 84014-2832 Ph: (801) 614-8400 | Armando Wayne Slack, RN 190 S Main St, Centerville, UT 84014 Ph: (801) 614-8400 |
Jennifer Aileen Rowley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 S Main St, Centerville, UT 84014 Phone: 801-693-7900 | |
Susanna Oley Smith, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 S Main St Ste B, Centerville, UT 84014 Phone: 801-614-8400 | |
Emily Wilcox, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 S Main St Ste B, Centerville, UT 84014 Phone: 801-614-8400 | |
Amanda D Webb-ellis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 392 N Main St, Centerville, UT 84014 Phone: 801-577-8678 |