Unknown Individual – Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1477520252
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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Profile Insights
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Provider Addresses for Unknown Individual
2240, Adams Avenue, 25th Street, Ogden, Weber County, Utah, 84401, United States
OGDEN, UT 844011511
Phone: (801) 393-5355
Fax: (801) 394-4609
Mailing address matches the actual address.
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | UT | 90792 | Psychiatric diagnostic evaluation with medical services | 15 | 14 |
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