Douglas Earl Farley, NP | |
1244 N Main St Ste 201, Tooele, UT 84074-9839 | |
(435) 882-3968 | |
Not Available |
Full Name | Douglas Earl Farley |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1244 N Main St Ste 201, Tooele, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427561737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7552989-4405 (Utah) | Primary |
Entity Name | Option Care Infusion Suites Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164194601 PECOS PAC ID: 5698179125 Enrollment ID: O20211122002842 |
Mailing Address | Practice Location Address |
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Douglas Earl Farley, NP 1244 N Main St Ste 201, Tooele, UT 84074-9839 Ph: (435) 882-3968 | Douglas Earl Farley, NP 1244 N Main St Ste 201, Tooele, UT 84074-9839 Ph: (435) 882-3968 |
Katie Wardenburg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E Ste 202, Tooele, UT 84074 Phone: 435-843-8380 Fax: 435-843-8382 | |
Renee Suzanne Loveless, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 356 W 1880 N, Tooele, UT 84074 Phone: 435-830-2028 | |
Julee Kimball, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 E 2000 N Ste 106, Tooele, UT 84074 Phone: 435-843-2634 | |
Mr. Brand Paxton Reynolds, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 491 N Main St, Tooele, UT 84074 Phone: 435-843-8881 | |
Desiree England, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1363 Green Meadows Ct, Tooele, UT 84074 Phone: 435-813-2825 | |
Mrs. Catherine Carter, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 E 2000 N, 100, Tooele, UT 84074 Phone: 435-882-7644 | |
Krystle Dawn Lowrance, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 196 E 2000 N Ste 110, Tooele, UT 84074 Phone: 435-843-3677 |