Ms Julianne Fallentine, CFNP | |
855 California Ave, Slc, UT 84104-1632 | |
(801) 977-0502 | |
Not Available |
Full Name | Ms Julianne Fallentine |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 855 California Ave, Slc, 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 |
---|---|---|---|
1356366181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 219839-4405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Utah Valley Hospital | Provo, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Ms Julianne Fallentine, CFNP 855 California Ave, Slc, UT 84104-1632 Ph: (801) 977-0502 | Ms Julianne Fallentine, CFNP 855 California Ave, Slc, UT 84104-1632 Ph: (801) 977-0502 |
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