| Annamarie Irene Breen, NP | |
| 5991 S 3500 W Ste 400, Roy, UT 84067-6702 | |
| (801) 845-4911 | |
| (216) 279-8556 | 
| Full Name | Annamarie Irene Breen | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 5991 S 3500 W Ste 400, Roy, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720442775 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7313401-4405 (Utah) | Primary | 
| Entity Name | Physician Group Of Utah Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Annamarie Irene Breen, NP 5991 S 3500 W Ste 400, Roy, UT 84067-6702 Ph: (801) 845-4911 | Annamarie Irene Breen, NP 5991 S 3500 W Ste 400, Roy, UT 84067-6702 Ph: (801) 845-4911 | 
| Mark Roland Nickle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5305 S 1900 W, Roy, UT 84067 Phone: 801-825-5648 | |
| Jerrica Elizabeth Stoddard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5640 S 3500 W, Roy, UT 84067 Phone: 801-773-2838 Fax: 801-773-3025 | |
| Mr. Phil H Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
| Emily Shanafelt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
| Sarah Breckinridge Wadhams, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
| Sandra Lowe Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4254 S 2450 W, Roy, UT 84067 Phone: 801-388-8086 | |
| Jill Woodring, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3443 W 5600 S, Roy, UT 84067 Phone: 801-773-4840 Fax: 801-525-8151 |