| Michelle Marie Griffen, | |
|
1034 N 500 W, Provo, UT 84604-3380 | |
| (801) 357-7850 | |
| Not Available |
| Full Name | Michelle Marie Griffen |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1034 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700523404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 12819879-4901 (Utah) | Primary |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Marie Griffen, Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Michelle Marie Griffen, 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7850 |
Mrs. Holly Yorgason, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7475 Fax: 801-357-7997 | |
Brooklin Clements, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 441 N 1220 W, Provo, UT 84601 Phone: 385-307-6111 | |
Donna L Schofield, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7546 | |
Kristen Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 395 W Cougar Blvd Ste 203, Provo, UT 84604 Phone: 801-357-7706 | |
Allison Shippen, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 395 W Cougar Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 | |
Daniel Burgess, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8413 | |
Lisa Danielle Rivera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2693 W 530 N, Provo, UT 84601 Phone: 801-885-2683 |