| Debra Vigil, | |
|
5926 Fashion Point Dr Ste 230, South Ogden, UT 84403-4808 | |
| (385) 432-0161 | |
| Not Available |
| Full Name | Debra Vigil |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5926 Fashion Point Dr Ste 230, South Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821419490 | NPI | - | NPPES |
| 217214-4405 | Other | UT | APRN LICENSE |
| 217214-8900 | Other | UT | APRN CONTROLLED SUBSTANCE SCHEDULE 2-5 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP5460 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 217214-4405 (Utah) | Primary |
| Entity Name | Utah Pain & Rehab Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689788762 PECOS PAC ID: 5799682134 Enrollment ID: O20031215000727 |
| Entity Name | Optum Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306275227 PECOS PAC ID: 7214168111 Enrollment ID: O20201221001430 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Vigil, 5926 Fashion Point Dr Ste 230, South Ogden, UT 84403-4808 Ph: (385) 432-0161 | Debra Vigil, 5926 Fashion Point Dr Ste 230, South Ogden, UT 84403-4808 Ph: (385) 432-0161 |
Amos Richard Grim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403 Phone: 801-683-1062 Fax: 801-295-5537 | |
Lauren Marie Pizarro, APRN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5926 Fashion Point Dr, South Ogden, UT 84403 Phone: 208-899-9996 | |
Niari Anne Mcfarland, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5974 Fashion Point Dr Ste 110, South Ogden, UT 84403 Phone: 801-917-2270 | |
Ms. Haileigh Mason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1893 E Skyline Dr # 104, South Ogden, UT 84403 Phone: 801-529-7005 | |
Ms. Virginia Jean Mol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 982 Chambers St, South Ogden, UT 84403 Phone: 801-479-4105 Fax: 801-584-2590 | |
Shaylee C Pettit, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5711 S 1475 E Ste 201, South Ogden, UT 84403 Phone: 801-332-9034 Fax: 678-203-9134 | |
Mr. Brian R Cunningham, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 982 Chambers St, South Ogden, UT 84403 Phone: 801-582-1565 |