Vanesa Nicol Cannon Judd, | |
893 E 9400 S, Sandy, UT 84094-3671 | |
(385) 335-7862 | |
Not Available |
Full Name | Vanesa Nicol Cannon Judd |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 893 E 9400 S, Sandy, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467132621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 96056983102 (Utah) | Primary |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062 |
Mailing Address | Practice Location Address |
---|---|
Vanesa Nicol Cannon Judd, 194 E Alpine Trail Dr, Draper, UT 84020-4507 Ph: (385) 312-3828 | Vanesa Nicol Cannon Judd, 893 E 9400 S, Sandy, UT 84094-3671 Ph: (385) 335-7862 |
Loandra Berg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Ste 110, Sandy, UT 84094 Phone: 801-501-6100 | |
Angela Marie Miller, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11562 S Hickory Valley Dr, Sandy, UT 84092 Phone: 435-901-1995 | |
Theresa Brooke Sligting, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3080 E Granite Slope Ln, Sandy, UT 84092 Phone: 801-699-6526 | |
Deana Marie Busch, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8899 S 700 E Ste 250, Sandy, UT 84070 Phone: 801-999-8252 | |
Benjamin Zachariah Rollins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 E Mingo Park Dr, Sandy, UT 84070 Phone: 801-554-4784 | |
Mr. Eugene Ray Snyder, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9660 S 1300 E, Sandy, UT 84094 Phone: 801-662-4275 | |
Jennifer Lyn Aragon, A.P.R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9980 S 300 W Ste 200, Sandy, UT 84070 Phone: 385-495-4151 Fax: 844-596-0409 |