Mrs Sandra B Waite, CFNP | |
520 Medical Dr, 210, Bountiful, UT 84010-4968 | |
(801) 298-9155 | |
Not Available |
Full Name | Mrs Sandra B Waite |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 520 Medical Dr, Bountiful, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699827014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 210069-4405 (Utah) | Primary |
Entity Name | Wade Family Medicine, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558597831 PECOS PAC ID: 4880740570 Enrollment ID: O20090922000401 |
Mailing Address | Practice Location Address |
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Mrs Sandra B Waite, CFNP 1318 Rebecca Cir, Salt Lake City, UT 84117-5863 Ph: (801) 272-7433 | Mrs Sandra B Waite, CFNP 520 Medical Dr, 210, Bountiful, UT 84010-4968 Ph: (801) 298-9155 |
Kenzlee Wooden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 845 S Main St Ste A7, Bountiful, UT 84010 Phone: 801-298-0903 | |
Daelyn Tasha Clawson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6670 | |
Miss Lauren Lightfield, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 458 N 500 W, Bountiful, UT 84010 Phone: 801-292-9355 Fax: 801-296-8050 | |
Sarah Elizabeth Mcmillin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W 3100 S, Bountiful, UT 84010 Phone: 801-668-7479 | |
Mistie Sue Manning, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010 Phone: 801-747-7244 | |
Dr. Rachel Starr Wagner Pollard, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 W 500 S Ste 210, Bountiful, UT 84010 Phone: 801-797-9121 | |
Janice M Trump, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781 |