Unknown Individual – Registered Nurse, NPI 1790884492
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
90, East 200 North, Logan, Cache County, Utah, 84321, United States
LOGAN, UT 843214034
Phone: (435) 752-0750
Type: Location
172, Meadow Circle, Logan, Cache County, Utah, 84321, United States
LOGAN, UT 843215095
Phone: (435) 787-2724
Type: Mailing
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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No Medicare enrollment or revalidation data available for this provider in our database.
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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 84321)
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