Trisha D Evans, APRN | |
49 S Samara St, Vineyard, UT 84059-6540 | |
(925) 918-1354 | |
(801) 810-1018 |
Full Name | Trisha D Evans |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 49 S Samara St, Vineyard, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245752740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 7523116-4405 (Utah) | Primary |
Entity Name | Pioneer Comprehensive Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891975595 PECOS PAC ID: 9537192570 Enrollment ID: O20050912000456 |
Mailing Address | Practice Location Address |
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Trisha D Evans, APRN 49 S Samara St, Vineyard, UT 84059-6540 Ph: (925) 918-1354 | Trisha D Evans, APRN 49 S Samara St, Vineyard, UT 84059-6540 Ph: (925) 918-1354 |
Edward Parry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N, Ste. 110, Vineyard, UT 84058 Phone: 385-203-0246 Fax: 385-203-0245 | |
Brett Wheatfill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059 Phone: 385-203-0246 Fax: 385-203-0245 | |
Ms. Jentry Cora Mckell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059 Phone: 385-203-0246 Fax: 385-203-0245 | |
Sadie Lynn Lemmon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 W 630 N, Vineyard, UT 84059 Phone: 801-227-4814 | |
Rebecca Ann Waite, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N, Ste 110, Vineyard, UT 84058 Phone: 385-203-0246 Fax: 385-203-0245 | |
Daniel Lewis Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N, Ste. 110, Vineyard, UT 84058 Phone: 385-203-0246 Fax: 385-203-0245 |