Ronald Terry Draper, NP, CRNA | |
770 S Highway 99, Fillmore, UT 84631-5033 | |
(435) 253-8000 | |
(435) 655-5213 |
Full Name | Ronald Terry Draper |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 770 S Highway 99, Fillmore, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013004498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 195011-4406 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 195011-4405 (Utah) | Primary |
Entity Name | Central Utah Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
---|---|
Ronald Terry Draper, NP, CRNA 1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305 Ph: (435) 864-3333 | Ronald Terry Draper, NP, CRNA 770 S Highway 99, Fillmore, UT 84631-5033 Ph: (435) 253-8000 |
Robbi K Harvey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 S Highway 99, Fillmore, UT 84631 Phone: 435-253-8000 Fax: 801-655-5213 | |
Brian Joseph Huber, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 S Highway 99, Fillmore, UT 84631 Phone: 435-743-5555 | |
Mrs. Denise Lanette Allgood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 S Highway 99, Fillmore, UT 84631 Phone: 435-743-5555 |