Sophia Elaine Perez, FNP | |
355 N Main St, Kanab, UT 84741-3260 | |
(435) 644-4100 | |
Not Available |
Full Name | Sophia Elaine Perez |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 355 N Main St, Kanab, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205613056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10712354-4405 (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 |
Entity Name | Kane County Human Resource Special Service District |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1215001037 PECOS PAC ID: 5092603316 Enrollment ID: O20090727000130 |
Mailing Address | Practice Location Address |
---|---|
Sophia Elaine Perez, FNP 1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Sophia Elaine Perez, FNP 355 N Main St, Kanab, UT 84741-3260 Ph: (435) 644-4100 |
Miriam Dawn Hughes, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 662 S Hwy 89a, Kanab, UT 84741 Phone: 719-695-0756 | |
Joanne Marie Palmer, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-648-2775 Fax: 435-648-2779 | |
Reggie Michael Gillins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 |