| Corrinne Erickson Uvejzovic, CNM | |
|
585 N 500 W, Provo, UT 84601-1548 | |
| (801) 374-1801 | |
| (801) 216-8357 |
| Full Name | Corrinne Erickson Uvejzovic |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 4 Years |
| Location | 585 N 500 W, Provo, 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 |
|---|---|---|---|
| 1346931011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 262376-4402 (Utah) | Secondary |
| 367A00000X | Advanced Practice Midwife | 262376-4402 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Revere Health Pc | 7517868508 | 407 |
| Entity Name | Revere Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Corrinne Erickson Uvejzovic, CNM 585 N 500 W, Provo, UT 84601-1548 Ph: (801) 374-1801 | Corrinne Erickson Uvejzovic, CNM 585 N 500 W, Provo, UT 84601-1548 Ph: (801) 374-1801 |
Mrs. Renee Proctor Wilson, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-404-5588 Fax: 801-216-8357 |
Tina Nackos, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-404-5588 |
Karly Nicole Webster, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 585 N 500 W, Provo, UT 84601 Phone: 801-374-1801 |