Ekaete Udodong, APRN | |
1886 W 800 N, Pleasant Grove, UT 84062-4097 | |
(801) 756-5288 | |
(801) 756-7589 |
Full Name | Ekaete Udodong |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 1886 W 800 N, Pleasant Grove, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083676647 | NPI | - | NPPES |
D6316 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 198596-4405 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 198596-4405 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Central Utah Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Ekaete Udodong, APRN 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Ekaete Udodong, APRN 1886 W 800 N, Pleasant Grove, UT 84062-4097 Ph: (801) 756-5288 |
Nichole Chalise Nelson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1446 W Pleasant Grove Blvd, Pleasant Grove, UT 84062 Phone: -- | |
Rachel Maria Hogan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 E 260 S, Pleasant Grove, UT 84062 Phone: 801-358-2137 | |
Monica Constanza Bruna, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-757-3511 | |
Carol Ann Graff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1886 W 800 N, Pleasant Grove, UT 84062 Phone: 801-429-8000 | |
Ruth A Hooper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-756-1705 | |
Dr. Brianna Lastre, DNP, WHNP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 Phone: 801-785-5100 | |
Susan Denise Gunnell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-756-1705 |