Jeelan Fall, | |
6256 W Anders Ridge Way, West Valley City, UT 84128-5624 | |
(801) 635-0749 | |
Not Available |
Full Name | Jeelan Fall |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 6256 W Anders Ridge Way, West Valley City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699399980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 9816657-4405 (Utah) | Primary |
163W00000X | Registered Nurse | 9816657-3102 (Utah) | Secondary |
Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
---|---|
Jeelan Fall, 6256 W Anders Ridge Way, West Valley City, UT 84128-5624 Ph: (801) 635-0749 | Jeelan Fall, 6256 W Anders Ridge Way, West Valley City, UT 84128-5624 Ph: (801) 635-0749 |
Jane M. Dyer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4535 S 5600 W, West Valley City, UT 84120 Phone: 801-963-7357 | |
Patricia A. Murphy, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4535 S 5600 W, West Valley City, UT 84120 Phone: 801-963-7335 | |
Paula G Thacker, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3725 W 4100 South, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 |