Mrs Emily J Rhodes, | |
200 N Gateway Dr Ste B, Providence, UT 84332-9001 | |
(435) 213-3597 | |
Not Available |
Full Name | Mrs Emily J Rhodes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 200 N Gateway Dr Ste B, Providence, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558017095 | NPI | - | NPPES |
346516-3102 | Other | UT | STATE OF UT DOPL |
346516-4405 | Other | UT | STATE OF UT DOPL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WX0200X | Registered Nurse - Oncology | 346516-3102 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 346516-4405 (Utah) | Primary |
Entity Name | Wholelife Family Wellness Clinic Of Providence Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962049932 PECOS PAC ID: 5193153294 Enrollment ID: O20200324003049 |
Mailing Address | Practice Location Address |
---|---|
Mrs Emily J Rhodes, 798 Canyon View Dr, Hyrum, UT 84319-1703 Ph: (435) 632-5433 | Mrs Emily J Rhodes, 200 N Gateway Dr Ste B, Providence, UT 84332-9001 Ph: (435) 213-3597 |
Angela C Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 W 100 N Unit 412, Providence, UT 84332 Phone: 435-799-3840 Fax: 833-205-1005 | |
Monica A Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1078 S 800 E, Providence, UT 84332 Phone: 435-363-5770 | |
Leighanne Quarles, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 S 100 W, Providence, UT 84332 Phone: 801-201-0004 Fax: 866-503-6022 | |
Wylee Kyle Jensen, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300 | |
Mr. Ben P Boyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1882 | |
Natalie Jean Gibson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 169 N Gateway Dr Ste 170, Providence, UT 84332 Phone: 435-213-3597 | |
Mrs. Adrianna Durrant, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 174 W 280 N, Providence, UT 84332 Phone: 435-232-4280 |