Rebecca Emily Ennen, FNP-BC | |
750 Round Valley Dr Ste 201, Park City, UT 84060-7549 | |
(435) 649-7680 | |
(435) 776-9353 |
Full Name | Rebecca Emily Ennen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 750 Round Valley Dr Ste 201, Park City, 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 |
---|---|---|---|
1427235811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP17730 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11273913-4405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park City Hospital | Park city, 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 |
---|---|
Rebecca Emily Ennen, FNP-BC Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 649-7680 | Rebecca Emily Ennen, FNP-BC 750 Round Valley Dr Ste 201, Park City, UT 84060-7549 Ph: (435) 649-7680 |
Matthew Weston Pommerville, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Snow Creek Dr, Park City, UT 84060 Phone: 435-655-0055 Fax: 435-655-8979 | |
Marilyn Jean Klein, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Bonanza Dr, Park City, UT 84060 Phone: 435-649-5989 Fax: 435-649-5991 | |
Heather Ann Darling, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Round Valley Dr, 250, Park City, UT 84060 Phone: 435-333-3535 Fax: 435-333-3536 | |
Beth Silvero, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Round Valley Dr, Park City, UT 84060 Phone: 435-333-1850 | |
Brandilyn Rolfe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2629 Cottage Ct, Park City, UT 84098 Phone: 404-201-0666 | |
Kelsey Rose Janusch, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 | |
Mrs. Erin Hanson Doppelheuer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Hollyhock St, Park City, UT 84098 Phone: 703-966-4255 |