| Brandie Blood Rudy, APRN | |
|
4252 S Highland Dr Ste 200, Holladay, UT 84124-2690 | |
| (801) 993-1800 | |
| Not Available |
| Full Name | Brandie Blood Rudy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 4252 S Highland Dr Ste 200, Holladay, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417435199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 284292-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta View Hospital | Sandy, UT | Hospital |
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granger Medical Clinic Pc | 3476465691 | 172 |
| Entity Name | Granger Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Granger Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandie Blood Rudy, APRN 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Brandie Blood Rudy, APRN 4252 S Highland Dr Ste 200, Holladay, UT 84124-2690 Ph: (801) 993-1800 |
Jun Lin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6405 S 3000 E, Holladay, UT 84121 Phone: 801-266-3113 Fax: 801-931-2166 | |
Stacey Mills Lake, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 E Murray Holladay Rd Ste 207, Holladay, UT 84117 Phone: 801-268-2584 | |
Hillary Lowe Taggart, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2290 E 4500 S Ste 210, Holladay, UT 84117 Phone: 801-516-8884 | |
Ms. Emily Kristen Van Os, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2225 E Murray Holladay Rd Ste 108, Holladay, UT 84117 Phone: 801-609-6823 Fax: 801-951-7221 | |
Gavin Woods, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1961 E Severn Cir, Holladay, UT 84124 Phone: 801-842-1917 | |
Lillian Farris, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4525 S 2300 E Ste 102, Holladay, UT 84117 Phone: 385-313-0401 Fax: 385-313-9762 |