Shirley J Barlow, APN, CNM | |
1065 North Hildale, Hildale, UT 84784-0459 | |
(435) 874-2217 | |
(435) 874-7805 |
Full Name | Shirley J Barlow |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1065 North Hildale, Hildale, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770697351 | NPI | - | NPPES |
333493 | Other | AZ | AHCCCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN086229 (Arizona) | Secondary |
363L00000X | Nurse Practitioner | 151413-4402 (Utah) | Primary |
Entity Name | Hometown Wellness Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285229856 PECOS PAC ID: 1850709189 Enrollment ID: O20210426001597 |
Mailing Address | Practice Location Address |
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Shirley J Barlow, APN, CNM 1065 North Hildale, Hildale, UT 84784-0459 Ph: (435) 874-2217 | Shirley J Barlow, APN, CNM 1065 North Hildale, Hildale, UT 84784-0459 Ph: (435) 874-2217 |
Charlotte B. Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1065 North Hildale St., Hildale, UT 84784 Phone: 436-874-2217 Fax: 435-874-7805 | |
Theil L Cooke Jr., APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1070 N Hildale St # 750, Hildale, UT 84784 Phone: 352-165-4884 Fax: 435-216-5969 | |
Martha Barlow, APN, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1065 North Hildale St., Hildale, UT 84784 Phone: 435-874-2217 Fax: 435-874-7805 |