Marie R Hurst, | |
5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 | |
(801) 683-1062 | |
(801) 295-5537 |
Full Name | Marie R Hurst |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 5974 Fashion Point Dr Ste 140, South Ogden, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124676044 | NPI | - | NPPES |
000055266 | Other | UT | MEDICARE PIN |
8760003008007 | Medicaid | UT | |
260022408 | Other | UT | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 327899-4405 (Utah) | Primary |
363LF0000X | Nurse Practitioner - Family | 327899-4405 (Utah) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tanner Memorial Clinic | 4284547985 | 215 |
Entity Name | Tanner Memorial Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
Mailing Address | Practice Location Address |
---|---|
Marie R Hurst, 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 Ph: (801) 683-1062 | Marie R Hurst, 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 Ph: (801) 683-1062 |
Amos Richard Grim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403 Phone: 801-683-1062 Fax: 801-295-5537 | |
Lauren Marie Pizarro, APRN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5926 Fashion Point Dr, South Ogden, UT 84403 Phone: 208-899-9996 | |
Niari Anne Mcfarland, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5974 Fashion Point Dr Ste 110, South Ogden, UT 84403 Phone: 801-917-2270 | |
Ms. Haileigh Mason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1893 E Skyline Dr # 104, South Ogden, UT 84403 Phone: 801-529-7005 | |
Ms. Virginia Jean Mol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 982 Chambers St, South Ogden, UT 84403 Phone: 801-479-4105 Fax: 801-584-2590 | |
Shaylee C Pettit, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5711 S 1475 E Ste 201, South Ogden, UT 84403 Phone: 801-332-9034 Fax: 678-203-9134 |