| Sunrise Womens Health And Wellness Pllc | |
|
724 S 1600 W Ste 200 Mapleton UT 84664-4349 | |
| (385) 448-0055 | |
| (801) 797-0281 |
| Full Name | Sunrise Womens Health And Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 724 S 1600 W Ste 200, Mapleton, Utah |
| Authorized Official Name and Position | Derrick Pickering (OWNER) |
| Authorized Official Contact | 3854480055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Womens Health And Wellness Pllc 724 S 1600 W Ste 200 Mapleton UT 84664-4349 Ph: (385) 448-0055 | Sunrise Womens Health And Wellness Pllc 724 S 1600 W Ste 200 Mapleton UT 84664-4349 Ph: (385) 448-0055 |
| NPI Number | 1720748874 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 10/24/2022 |
| Medicare PECOS PAC ID | 1658741095 |
|---|---|
| Medicare Enrollment ID | O20221230000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720748874 | NPI | - | NPPES |
| 1720497597 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Derrick Evan Pickering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720497597 PECOS PAC ID: 4688896616 Enrollment ID: I20141106002110 |
| Provider Name | Aymee Condie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629378856 PECOS PAC ID: 1951763127 Enrollment ID: I20230821000694 |
Maple Mountain Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 S 1600 W, Mapleton, UT 84664 Phone: 801-515-6048 Fax: 855-848-5748 | |
Mapleton Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 S 1600 W, Mapleton, UT 84664 Phone: 801-853-3700 Fax: 801-489-6378 |