| |
1916 N 700 W Ste 110 Layton UT 84041-5754 | |
(888) 253-6598 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1916 N 700 W Ste 110, Layton, Utah |
Authorized Official Name and Position | Lee Johnson (TREASURER) |
Authorized Official Contact | 2084011369 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1916 N 700 W Ste 110 Layton UT 84041-5754 Ph: (888) 253-6598 | 1916 N 700 W Ste 110 Layton UT 84041-5754 Ph: (888) 253-6598 |
NPI Number | 1649748559 |
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Provider Enumeration Date | 11/08/2018 |
Last Update Date | 04/01/2022 |
Medicare PECOS PAC ID | 8123368925 |
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Medicare Enrollment ID | O20190313002843 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649748559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Mahana S Fisher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700878949 PECOS PAC ID: 1658398383 Enrollment ID: I20051101000410 |
Provider Name | Kathleen M Marie Stahl |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053625541 PECOS PAC ID: 1658568480 Enrollment ID: I20101206001272 |
Provider Name | Jesse J Twu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508216581 PECOS PAC ID: 5193013027 Enrollment ID: I20161010001554 |
Provider Name | Kelsey Bywater |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629508403 PECOS PAC ID: 6204106230 Enrollment ID: I20170724002173 |
Provider Name | Alexa V Nickel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811488976 PECOS PAC ID: 2365799855 Enrollment ID: I20180713002689 |
Provider Name | Lisa A Ostrander |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104398361 PECOS PAC ID: 8527308394 Enrollment ID: I20190314001943 |
Provider Name | Andrea Marie Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417427626 PECOS PAC ID: 9133454259 Enrollment ID: I20190711002611 |
Provider Name | Sarah E Figorski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669959094 PECOS PAC ID: 1153650700 Enrollment ID: I20190909000538 |
Provider Name | Samantha Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154949493 PECOS PAC ID: 9032535356 Enrollment ID: I20200818001363 |
Provider Name | Cody J Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962088732 PECOS PAC ID: 3779897285 Enrollment ID: I20210621002257 |
Provider Name | Tyler C Barney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477299907 PECOS PAC ID: 7911389796 Enrollment ID: I20220727001752 |
Provider Name | Carli Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952034654 PECOS PAC ID: 6507249091 Enrollment ID: I20220816002618 |
Provider Name | Ashley Saunders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003680117 PECOS PAC ID: 4981053667 Enrollment ID: I20231206001971 |
Provider Name | Michelle Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538936745 PECOS PAC ID: 9931551884 Enrollment ID: I20240117000774 |
Provider Name | Heidi K Beckman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801585484 PECOS PAC ID: 8022458249 Enrollment ID: I20240503002665 |
Provider Name | Stephanie Lynne Ripley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346091592 PECOS PAC ID: 0446793517 Enrollment ID: I20240617003440 |
Provider Name | Emily Harames |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386492932 PECOS PAC ID: 9537602099 Enrollment ID: I20240625002186 |
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