Katie Camille Tayon, | |
6433 Black Ridge Dr, Stansbury Park, UT 84074-1230 | |
(435) 841-4307 | |
Not Available |
Full Name | Katie Camille Tayon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6433 Black Ridge Dr, Stansbury Park, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912612375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 9902215-4405 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9902215-4405 (Utah) | Primary |
Entity Name | University Of Utah Community Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
Mailing Address | Practice Location Address |
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Katie Camille Tayon, 6433 Black Ridge Dr, Stansbury Park, UT 84074-1230 Ph: (435) 841-4307 | Katie Camille Tayon, 6433 Black Ridge Dr, Stansbury Park, UT 84074-1230 Ph: (435) 841-4307 |
Brian James Holdstock, C.F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5136 N Cambridge Dr, Stansbury Park, UT 84074 Phone: 801-254-9700 | |
Angela Michelle Demoss, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 682 Country Club, Stansbury Park, UT 84074 Phone: 801-244-6688 | |
Mr. Curt Rydell Dustin, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 E Highway 138 Ste 400, Stansbury Park, UT 84074 Phone: 435-843-1342 Fax: 435-843-1343 |