Mr Curt Rydell Dustin, MSN, APRN, BC | |
576 E Highway 138 Ste 400, Stansbury Park, UT 84074-4028 | |
(435) 843-1342 | |
(435) 843-1343 |
Full Name | Mr Curt Rydell Dustin |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 576 E Highway 138 Ste 400, 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 |
---|---|---|---|
1821043548 | NPI | - | NPPES |
0926381 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 264218-4405 (Utah) | Primary |
Entity Name | Tooele Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073512364 PECOS PAC ID: 6800700873 Enrollment ID: O20031113000800 |
Mailing Address | Practice Location Address |
---|---|
Mr Curt Rydell Dustin, MSN, APRN, BC 196 E 2000 N, Ste 104, Tooele, UT 84074-9335 Ph: (435) 882-1644 | Mr Curt Rydell Dustin, MSN, APRN, BC 576 E Highway 138 Ste 400, Stansbury Park, UT 84074-4028 Ph: (435) 843-1342 |
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 | |
Katie Camille Tayon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6433 Black Ridge Dr, Stansbury Park, UT 84074 Phone: 435-841-4307 |