Unknown Individual – Family Nurse Practitioner, NPI 1114244944
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
271 E BROADWAY ST
TOOELE, UT 840743116
Phone: (435) 843-9964
Fax: (435) 843-9964
Type: Mailing
225 W APPLE ST
GRANTSVILLE, UT 840299635
Phone: (435) 843-9964
Fax: (435) 843-9964
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84074)
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