Tom Rieber, | |
1200 E 3900 S, Millcreek, UT 84124-1300 | |
(801) 268-7111 | |
Not Available |
Full Name | Tom Rieber |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1200 E 3900 S, Millcreek, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477228427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 9754454-8900 (Utah) | Primary |
Entity Name | Intensive Care Consortium Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20160210001913 |
Mailing Address | Practice Location Address |
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Tom Rieber, 2841 E 2100 S, Salt Lake City, UT 84109-1446 Ph: (310) 403-9493 | Tom Rieber, 1200 E 3900 S, Millcreek, UT 84124-1300 Ph: (801) 268-7111 |
Mrs. Amber Lynne Hardman, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 E 3900 S, Millcreek, UT 84124 Phone: 801-268-7111 | |
Monserrat Alexis Bohmier, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3920 S 1100 E Ste 150, Millcreek, UT 84124 Phone: 801-230-0586 | |
Tannaz Sabet, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 E 3900 S, Millcreek, UT 84124 Phone: 801-269-8200 | |
Andrea K Loving, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4400 S 700 E Ste 201, Millcreek, UT 84107 Phone: 801-895-8903 Fax: 888-312-5374 | |
Heidi Carter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4444 S 700 E, Millcreek, UT 84107 Phone: 801-550-0150 | |
Robin Redd Clegg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3035 S Melbourne St, Millcreek, UT 84106 Phone: 801-573-7368 |