| Kristen Gulock, NP | |
|
2965 W 3500 S, West Valley City, UT 84119-3602 | |
| (801) 965-3424 | |
| Not Available |
| Full Name | Kristen Gulock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2965 W 3500 S, 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 |
|---|---|---|---|
| 1033994470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11962813-4405 (Utah) | Primary |
| Entity Name | Granger Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Granger Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Gulock, NP 7181 S Campus View Dr Ste 200, West Jordan, UT 84084-4312 Ph: (801) 965-3600 | Kristen Gulock, NP 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3424 |
Danielle Renee Puri, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3448 West 3200 South, West Valley City, UT 84119 Phone: 801-359-2256 Fax: 801-364-4392 | |
Dr. Valerie Rebekah Birdsall, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 W 3600 S, West Valley City, UT 84119 Phone: 801-973-9675 | |
Tonya Wright, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4052 W Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-386-1250 | |
Mrs. Mary D Joyce, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-581-2121 | |
Ms. Carina Lesser, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3740 | |
Jonathan Rohwer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4701 W 2100 S, West Valley City, UT 84120 Phone: 801-974-3382 |