Nathan Wiley, DNP, APRN, FNP-C | |
1561 W 7000 S Ste 200, West Jordan, UT 84084-3556 | |
(801) 263-0717 | |
(801) 266-2362 |
Full Name | Nathan Wiley |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1561 W 7000 S Ste 200, West Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609268317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 8927878-3102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 8927878-8900 (Utah) | Primary |
Entity Name | Molina Healthcare Of Utah |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619486396 PECOS PAC ID: 8224395041 Enrollment ID: O20171204002662 |
Mailing Address | Practice Location Address |
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Nathan Wiley, DNP, APRN, FNP-C 1561 W 7000 S Ste 200, West Jordan, UT 84084-3556 Ph: (801) 263-0717 | Nathan Wiley, DNP, APRN, FNP-C 1561 W 7000 S Ste 200, West Jordan, UT 84084-3556 Ph: (801) 263-0717 |
Peggy Anne Jerome, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8537 Redwood Rd, Suite A - Main Level, West Jordan, UT 84088 Phone: 801-568-2898 | |
Megan Bliss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 | |
Gaylinn Breeze, APRN, AGPCNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7093 S 2980 W, West Jordan, UT 84084 Phone: 801-554-2849 | |
Elizabeth Huser, FNP-BC, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 S Redwood Rd, West Jordan, UT 84084 Phone: 000-000-0000 | |
Karty Dormera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3895 W 7800 S Ste 100, West Jordan, UT 84088 Phone: 801-280-7774 Fax: 801-748-2790 | |
Kim Sundstrom, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9289 S Redwood Rd Ste C, West Jordan, UT 84088 Phone: 801-568-2898 | |
Bari Michelle King, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3570 W 9000 S, Suite, 100, West Jordan, UT 84088 Phone: 801-569-1999 Fax: 801-569-2001 |