| Mountain West Wound Care Inc | |
|
1231 N 1300 W Ste A, Centerville, UT 84014-1883 | |
| (801) 815-6500 | |
| Not Available |
| Full Name | Mountain West Wound Care Inc |
|---|---|
| Type | Facility |
| Speciality | Nurse Practitioner |
| Location | 1231 N 1300 W Ste A, Centerville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083438626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Melanie Muma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104370451 PECOS PAC ID: 4587922257 Enrollment ID: I20171229002081 |
| Provider Name | Nathan Brian Payne |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760845473 PECOS PAC ID: 5193018976 Enrollment ID: I20230131002643 |
| Provider Name | Maryanne Frances Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497534002 PECOS PAC ID: 9537603378 Enrollment ID: I20240703001146 |
| Provider Name | Bryan Joseph Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508215179 PECOS PAC ID: 1456688936 Enrollment ID: I20241123000399 |
| Provider Name | Franklin Nebeker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760748487 PECOS PAC ID: 3678704095 Enrollment ID: I20241125001969 |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain West Wound Care Inc Po Box 607, Centerville, UT 84014-0607 Ph: (801) 815-6500 | Mountain West Wound Care Inc 1231 N 1300 W Ste A, Centerville, UT 84014-1883 Ph: (801) 815-6500 |