Ashlie Taressa Flynn, DNP, APRN, FNP-C | |
576 E Highway 138 Ste 310, Stansbury Park, UT 84074-4028 | |
(801) 827-0662 | |
(801) 827-0663 |
Full Name | Ashlie Taressa Flynn |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 576 E Highway 138 Ste 310, Stansbury Park, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972257483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 8994021-3102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 8994021-4405 (Utah) | Primary |
Entity Name | Mmg Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295392645 PECOS PAC ID: 5991039489 Enrollment ID: O20190703001917 |
Entity Name | Mmg Stansbury Family Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730892274 PECOS PAC ID: 7911371422 Enrollment ID: O20230324000780 |
Mailing Address | Practice Location Address |
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Ashlie Taressa Flynn, DNP, APRN, FNP-C 576 E Highway 138 Ste 310, Stansbury Park, UT 84074-4028 Ph: (801) 827-0662 | Ashlie Taressa Flynn, DNP, APRN, FNP-C 576 E Highway 138 Ste 310, Stansbury Park, UT 84074-4028 Ph: (801) 827-0662 |
Brian James Holdstock, C.F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5136 N Cambridge Dr, Stansbury Park, UT 84074 Phone: 801-254-9700 | |
Angela Michelle Demoss, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 682 Country Club, Stansbury Park, UT 84074 Phone: 801-244-6688 | |
Mr. Curt Rydell Dustin, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 E Highway 138 Ste 400, Stansbury Park, UT 84074 Phone: 435-843-1342 Fax: 435-843-1343 | |
Katie Camille Tayon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6433 Black Ridge Dr, Stansbury Park, UT 84074 Phone: 435-841-4307 |