Tiffany Schultz, APRN | |
267 N Spring Creek Pkwy, Providence, UT 84332-9775 | |
(435) 792-9400 | |
(435) 792-4800 |
Full Name | Tiffany Schultz |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 267 N Spring Creek Pkwy, Providence, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194172635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 7218743-3102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 7218743-4405 (Utah) | Primary |
Entity Name | Springcreek Medical Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093075756 PECOS PAC ID: 1153587233 Enrollment ID: O20120717000459 |
Entity Name | Canyon Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649748559 PECOS PAC ID: 8123368925 Enrollment ID: O20190313002843 |
Mailing Address | Practice Location Address |
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Tiffany Schultz, APRN 257 E 500 N, Logan, UT 84321-4128 Ph: (801) 528-2619 | Tiffany Schultz, APRN 267 N Spring Creek Pkwy, Providence, UT 84332-9775 Ph: (435) 792-9400 |
Angela C Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 W 100 N Unit 412, Providence, UT 84332 Phone: 435-799-3840 Fax: 833-205-1005 | |
Monica A Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1078 S 800 E, Providence, UT 84332 Phone: 435-363-5770 | |
Leighanne Quarles, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 S 100 W, Providence, UT 84332 Phone: 801-201-0004 Fax: 866-503-6022 | |
Wylee Kyle Jensen, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300 | |
Mr. Ben P Boyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1882 | |
Natalie Jean Gibson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 169 N Gateway Dr Ste 170, Providence, UT 84332 Phone: 435-213-3597 | |
Mrs. Adrianna Durrant, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 174 W 280 N, Providence, UT 84332 Phone: 435-232-4280 |