Natalie Jean Gibson, DNP | |
169 N Gateway Dr Ste 170, Providence, UT 84332-9855 | |
(435) 213-3597 | |
Not Available |
Full Name | Natalie Jean Gibson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 169 N Gateway Dr Ste 170, Providence, 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 |
---|---|---|---|
1528419330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 8738041-4405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Logan Regional Hospital | Logan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wholelife Family Wellness Clinic Of Providence Pllc | 5193153294 | 6 |
Entity Name | Wholelife Family Wellness Clinic Of Providence Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962049932 PECOS PAC ID: 5193153294 Enrollment ID: O20200324003049 |
Mailing Address | Practice Location Address |
---|---|
Natalie Jean Gibson, DNP 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600 | Natalie Jean Gibson, DNP 169 N Gateway Dr Ste 170, Providence, UT 84332-9855 Ph: (435) 213-3597 |
Angela C Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 W 100 N Unit 412, Providence, UT 84332 Phone: 435-799-3840 Fax: 833-205-1005 | |
Monica A Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1078 S 800 E, Providence, UT 84332 Phone: 435-363-5770 | |
Leighanne Quarles, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 S 100 W, Providence, UT 84332 Phone: 801-201-0004 Fax: 866-503-6022 | |
Wylee Kyle Jensen, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300 | |
Mr. Ben P Boyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1882 | |
Mrs. Adrianna Durrant, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 174 W 280 N, Providence, UT 84332 Phone: 435-232-4280 |