| Lisa Shea Roberts, FNP | |
|
55 E 100 N, Suite 303, Logan, UT 84321-4661 | |
| (435) 760-7078 | |
| Not Available |
| Full Name | Lisa Shea Roberts |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 55 E 100 N, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043652803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 8689112-4405 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 8689112-4405 (Utah) | Primary |
| Entity Name | Springcreek Medical Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093075756 PECOS PAC ID: 1153587233 Enrollment ID: O20120717000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Shea Roberts, FNP 12965 W 61st Cir, Arvada, CO 80004-3981 Ph: (435) 760-7078 | Lisa Shea Roberts, FNP 55 E 100 N, Suite 303, Logan, UT 84321-4661 Ph: (435) 760-7078 |
Sarah Hope Horton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 N 600 E Ste 101, Logan, UT 84341 Phone: 435-213-3970 | |
Mandi Spens, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 E 1400 N Ste T, Logan, UT 84341 Phone: 435-716-1320 | |
Todd Hamblin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1130 Fax: 435-719-1131 | |
Mr. Kyle J Higginson, AG-ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 939 Us-89 #1, Logan, UT 84321 Phone: 801-669-3534 | |
Mr. Tod Michael Morrison, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E 1400 N Ste 150, Logan, UT 84341 Phone: 435-915-4465 Fax: 435-799-3664 | |
Emily Fonua, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste I, Logan, UT 84341 Phone: 435-753-1545 Fax: 435-753-3153 |