Shane Mozingo, | |
2841 N 920 E, North Logan, UT 84341-5806 | |
(435) 512-1066 | |
Not Available |
Full Name | Shane Mozingo |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2841 N 920 E, North Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295347474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10646550-3102 (Utah) | Primary |
Entity Name | South Sound Inpatient Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508023789 PECOS PAC ID: 5991618738 Enrollment ID: O20100920001132 |
Entity Name | Atlas Medical Alaska Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376213207 PECOS PAC ID: 0345630463 Enrollment ID: O20211205000014 |
Mailing Address | Practice Location Address |
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Shane Mozingo, 2841 N 920 E, North Logan, UT 84341-5806 Ph: (435) 512-1066 | Shane Mozingo, 2841 N 920 E, North Logan, UT 84341-5806 Ph: (435) 512-1066 |
Sydnie M Hobbs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1760 N 200 E Ste 101, North Logan, UT 84341 Phone: 435-787-0560 | |
James Lewis Jones Jr., ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N, Suite J, North Logan, UT 84341 Phone: 435-753-1171 Fax: 435-792-4464 | |
Dr. Christopher James Morgan, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 N Main St Ste 3, North Logan, UT 84341 Phone: 435-716-8765 Fax: 435-915-3700 | |
Stacie Weeks Mecham, P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2380 N 400 E, Ste C, North Logan, UT 84341 Phone: 435-753-7337 | |
Ian Michael Troesoyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 N 400 E Ste 104, North Logan, UT 84341 Phone: 435-755-6061 | |
Michelle C Bailey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2380 N 400 E Ste B, North Logan, UT 84341 Phone: 435-752-5741 |