David Harless, NP-C | |
3961 S Steeplechase Rd, Washington, UT 84780-4801 | |
(435) 817-3414 | |
Not Available |
Full Name | David Harless |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 3961 S Steeplechase Rd, Washington, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174262596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 10836585-4405 (Utah) | Primary |
Entity Name | Molina Healthcare Of Utah |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619486396 PECOS PAC ID: 8224395041 Enrollment ID: O20171204002662 |
Mailing Address | Practice Location Address |
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David Harless, NP-C 3961 S Steeplechase Rd, Washington, UT 84780-4801 Ph: (435) 817-3414 | David Harless, NP-C 3961 S Steeplechase Rd, Washington, UT 84780-4801 Ph: (435) 817-3414 |
Joanne H Abegglen, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 E Kays Cir, Washington, UT 84780 Phone: 435-705-4311 Fax: 435-213-4186 | |
Brian Hardison Adams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Bluff View Dr Unit 106, Washington, UT 84780 Phone: 801-850-7393 | |
Sierra Claudia Peterson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3611 S Camino Real, Washington, UT 84780 Phone: 435-922-3569 | |
Janie Earle, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 E Antone Way, Washington, UT 84780 Phone: 435-313-4149 | |
Lorna Davis, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 206 W Dixie Country Ln, Washington, UT 84780 Phone: 801-787-2788 |