Taylor Widdison, | |
550 E 1400 N Ste S, Logan, UT 84341-2407 | |
(435) 716-1860 | |
Not Available |
Full Name | Taylor Widdison |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 550 E 1400 N Ste S, 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 |
---|---|---|---|
1689451478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WX0003X | Registered Nurse - Obstetric, Inpatient | 10371161-3102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 10371161-4405 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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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 |
---|---|
Taylor Widdison, 327 W 200 S, Smithfield, UT 84335-2111 Ph: (801) 644-2504 | Taylor Widdison, 550 E 1400 N Ste S, Logan, UT 84341-2407 Ph: (435) 716-1860 |
Sarah Hope Horton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1325 N 600 E Ste 101, Logan, UT 84341 Phone: 435-213-3970 | |
Lisa Shea Roberts, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 E 100 N, Suite 303, Logan, UT 84321 Phone: 435-760-7078 | |
Mandi Spens, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 E 1400 N Ste T, Logan, UT 84341 Phone: 435-716-1320 | |
Todd Hamblin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1130 Fax: 435-719-1131 | |
Mr. Kyle J Higginson, AG-ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 939 Us-89 #1, Logan, UT 84321 Phone: 801-669-3534 | |
Mr. Tod Michael Morrison, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E 1400 N Ste 150, Logan, UT 84341 Phone: 435-915-4465 Fax: 435-799-3664 | |
Emily Fonua, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste I, Logan, UT 84341 Phone: 435-753-1545 Fax: 435-753-3153 |