| Jodi Andersen, WHNP | |
|
1551 Renaissance Towne Dr Ste 460, Bountiful, UT 84010-7672 | |
| (801) 200-2999 | |
| Not Available |
| Full Name | Jodi Andersen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 1551 Renaissance Towne Dr Ste 460, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881344778 | NPI | - | NPPES |
| 374064-4405 | Other | UT | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | 374064-3102 (Utah) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 374064-4405 (Utah) | Primary |
| Entity Name | The Bladder Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992550974 PECOS PAC ID: 5193262731 Enrollment ID: O20240801000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Andersen, WHNP 1895 W Deep Creek Rd, Morgan, UT 84050-9621 Ph: (801) 391-8736 | Jodi Andersen, WHNP 1551 Renaissance Towne Dr Ste 460, Bountiful, UT 84010-7672 Ph: (801) 200-2999 |
Kenzlee Wooden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 845 S Main St Ste A7, Bountiful, UT 84010 Phone: 801-298-0903 | |
Daelyn Tasha Clawson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6670 | |
Mandi Spens, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781 | |
Miss Lauren Lightfield, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 458 N 500 W, Bountiful, UT 84010 Phone: 801-292-9355 Fax: 801-296-8050 | |
Sarah Elizabeth Mcmillin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W 3100 S, Bountiful, UT 84010 Phone: 801-668-7479 | |
Mistie Sue Manning, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010 Phone: 801-747-7244 | |
Dr. Rachel Starr Wagner Pollard, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 W 500 S Ste 210, Bountiful, UT 84010 Phone: 801-797-9121 |