Mrs Megan Sonja Sullivan, FNP-C | |
660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | |
(801) 359-2256 | |
Not Available |
Full Name | Mrs Megan Sonja Sullivan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 660 S 200 E Ste 250, Salt Lake City, 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 |
---|---|---|---|
1669071395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7650547-4409 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Confederated Tribes Of The Goshute Reservation | 0042451650 | 43 |
Entity Name | Confederated Tribes Of The Goshute Reservation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750510277 PECOS PAC ID: 0042451650 Enrollment ID: O20130724000653 |
Mailing Address | Practice Location Address |
---|---|
Mrs Megan Sonja Sullivan, FNP-C 11241 S Sandcrest Cir, Sandy, UT 84094-7014 Ph: (503) 758-2780 | Mrs Megan Sonja Sullivan, FNP-C 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 Ph: (801) 359-2256 |
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