| Liane Beverly Root, | |
|
7366 S Brittany Town Dr, West Jordan, UT 84084-4609 | |
| (801) 889-6063 | |
| Not Available |
| Full Name | Liane Beverly Root |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 7366 S Brittany Town Dr, West Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336743046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8269312-4405 (Utah) | Primary |
| Entity Name | Copperview Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316970924 PECOS PAC ID: 4284538976 Enrollment ID: O20031124000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Liane Beverly Root, 7366 S Brittany Town Dr, West Jordan, UT 84084-4609 Ph: (801) 889-6063 | Liane Beverly Root, 7366 S Brittany Town Dr, West Jordan, UT 84084-4609 Ph: (801) 889-6063 |
Peggy Anne Jerome, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8537 Redwood Rd, Suite A - Main Level, West Jordan, UT 84088 Phone: 801-568-2898 | |
Megan Bliss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 | |
Gaylinn Breeze, APRN, AGPCNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7093 S 2980 W, West Jordan, UT 84084 Phone: 801-554-2849 | |
Elizabeth Huser, FNP-BC, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 S Redwood Rd, West Jordan, UT 84084 Phone: 000-000-0000 | |
Karty Dormera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3895 W 7800 S Ste 100, West Jordan, UT 84088 Phone: 801-280-7774 Fax: 801-748-2790 | |
Kim Sundstrom, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9289 S Redwood Rd Ste C, West Jordan, UT 84088 Phone: 801-568-2898 | |
Bari Michelle King, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3570 W 9000 S, Suite, 100, West Jordan, UT 84088 Phone: 801-569-1999 Fax: 801-569-2001 |