Dr Andrew Spencer Pettit, DNP, NP, FNP-BC | |
348 E 4500 S Ste 300, Murray, UT 84107-8535 | |
(801) 266-2777 | |
(801) 266-1377 |
Full Name | Dr Andrew Spencer Pettit |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 348 E 4500 S Ste 300, Murray, 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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1487200853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 8671455-4405 (Utah) | Primary |
Entity Name | Mountainstar Medical Group-st. Marks Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073795258 PECOS PAC ID: 1557443322 Enrollment ID: O20080201000093 |
Mailing Address | Practice Location Address |
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Dr Andrew Spencer Pettit, DNP, NP, FNP-BC Po Box 198560, Atlanta, GA 30384-8560 Ph: () - | Dr Andrew Spencer Pettit, DNP, NP, FNP-BC 348 E 4500 S Ste 300, Murray, UT 84107-8535 Ph: (801) 266-2777 |
Michael Christensen, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5802 S 900 E Unit 1, Murray, UT 84121 Phone: 480-868-9650 | |
Kristy Bentley, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-5400 | |
Alisa F Corry, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 210, Murray, UT 84107 Phone: 801-507-3380 | |
Patricia Hartley-clanton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5121 Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 801-442-0643 | |
Laura B Hunt, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St, Ste 320, Murray, UT 84107 Phone: 801-507-3380 | |
Jason Reid Lesser, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 610, Murray, UT 84107 Phone: 801-507-3630 | |
Nathan Miles Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 746 E Winchester St Ste 200, Murray, UT 84107 Phone: 801-456-2333 |