| Ms Carolyn Jean Ewell, FNP | |
|
136 N 500 W, Roosevelt, UT 84066-2758 | |
| (435) 722-4843 | |
| Not Available |
| Full Name | Ms Carolyn Jean Ewell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 136 N 500 W, Roosevelt, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760513667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2235264405 (Utah) | Primary |
| Entity Name | State Of Wyoming |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316011562 PECOS PAC ID: 4587552583 Enrollment ID: O20040728001439 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carolyn Jean Ewell, FNP Po Box 30180, Salt Lake City, UT 84130-0180 Ph: (801) 442-3168 | Ms Carolyn Jean Ewell, FNP 136 N 500 W, Roosevelt, UT 84066-2758 Ph: (435) 722-4843 |
Lori A Teem, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104 | |
Tanya Sarah Boren, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 | |
Robert Nielson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 | |
Tracy Lee Winterton, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 Constitution Dr # 515-5, Roosevelt, UT 84066 Phone: 435-823-0217 | |
Carol F Rasmussen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Mr. Samuel Mark Bertoch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 North 2762 West, Roosevelt, UT 84066 Phone: 435-722-9250 | |
Audrie Christine Wisell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 |