| Caroline Chau Quach, | |
|
3702 S State St Ste 107, South Salt Lake, UT 84115-5096 | |
| (801) 288-2634 | |
| (801) 288-1186 |
| Full Name | Caroline Chau Quach |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3702 S State St Ste 107, South Salt Lake, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356922405 | NPI | - | NPPES |
| 1356922405 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8503905-4405 (Utah) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Nephrology Associates Of Utah Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750473948 PECOS PAC ID: 2769468065 Enrollment ID: O20040628000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Chau Quach, 3702 S State St Ste 107, South Salt Lake, UT 84115-5096 Ph: (801) 288-2634 | Caroline Chau Quach, 3702 S State St Ste 107, South Salt Lake, UT 84115-5096 Ph: (801) 288-2634 |
Jennifer Michelle Sorto, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186 | |
Jennifer Nicole Twohig, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186 | |
Adam Thomas Creer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2880 S Main St Ste 108, South Salt Lake, UT 84115 Phone: 240-356-1000 | |
Kristen Cox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 E Farmer Alumni Dr, South Salt Lake, UT 84106 Phone: 385-227-2897 | |
Zhan Wang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186 | |
Leigh-andrew Thomas Sampson-seitz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3269 S Main St Ste 220, South Salt Lake, UT 84115 Phone: 801-656-7124 Fax: 385-243-3021 | |
Dr. Emily Elizabeth Barrows, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846 |