Mrs Taija Marie Leonard, FNP | |
830 N 2000 W, Pleasant Grove, UT 84062-4047 | |
(801) 756-3511 | |
(801) 756-1705 |
Full Name | Mrs Taija Marie Leonard |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 830 N 2000 W, Pleasant Grove, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912515685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP61084061 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9683749-4405 (Utah) | Primary |
Entity Name | Premier Family Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079 |
Mailing Address | Practice Location Address |
---|---|
Mrs Taija Marie Leonard, FNP 275 W 200 N, Lindon, UT 84042-5009 Ph: (801) 796-1333 | Mrs Taija Marie Leonard, FNP 830 N 2000 W, Pleasant Grove, UT 84062-4047 Ph: (801) 756-3511 |
Nichole Chalise Nelson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1446 W Pleasant Grove Blvd, Pleasant Grove, UT 84062 Phone: -- | |
Rachel Maria Hogan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 E 260 S, Pleasant Grove, UT 84062 Phone: 801-358-2137 | |
Monica Constanza Bruna, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-757-3511 | |
Carol Ann Graff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1886 W 800 N, Pleasant Grove, UT 84062 Phone: 801-429-8000 | |
Ruth A Hooper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-756-1705 | |
Dr. Brianna Lastre, DNP, WHNP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 Phone: 801-785-5100 | |
Susan Denise Gunnell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-756-1705 |