| Dalen Lee Johnson, APRN | |
|
305 Center Street, East Carbon, UT 84520-0517 | |
| (435) 888-4411 | |
| (435) 888-2270 |
| Full Name | Dalen Lee Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 305 Center Street, East Carbon, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922318450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5323800-8900 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Symbii Home Health South | West valley city, UT | Home health agency |
| Community Nursing Services | West valley city, UT | Home health agency |
| Castleview Hospital | Price, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Castleview Hospital Llc | 9032021043 | 4 |
| Entity Name | Castleview Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639253321 PECOS PAC ID: 9032021043 Enrollment ID: O20040105000319 |
| Entity Name | Castleview Physician Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013364884 PECOS PAC ID: 6305995598 Enrollment ID: O20090518000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Dalen Lee Johnson, APRN 330 Seven Springs Way, Brentwood, TN 37027-5098 Ph: (615) 920-7782 | Dalen Lee Johnson, APRN 305 Center Street, East Carbon, UT 84520-0517 Ph: (435) 888-4411 |
Marvin Joseph Morrison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Center Street, East Carbon, UT 84520 Phone: 435-888-4411 Fax: 435-888-2270 | |
Andrea D. Barney, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Center St., East Carbon, UT 84520 Phone: 435-888-4411 Fax: 435-888-2270 |