Baron Harrell, | |
5475 S 500 E, Ogden, UT 84405-6905 | |
(801) 479-2111 | |
Not Available |
Full Name | Baron Harrell |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 5475 S 500 E, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518610641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10376632-4405 (Utah) | Primary |
207Q00000X | Family Medicine | 10376632-4405 (Utah) | Secondary |
Entity Name | Emergency Physicians Integrated Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
Mailing Address | Practice Location Address |
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Baron Harrell, 1806 N 400 W, North Ogden, UT 84414-7292 Ph: (801) 388-0832 | Baron Harrell, 5475 S 500 E, Ogden, UT 84405-6905 Ph: (801) 479-2111 |
Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714 | |
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110 | |
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795 | |
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572 | |
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797 | |
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702 |