Jill Glazier Blasdell, | |
329 S 350 E Ste 4, Kanab, UT 84741-3768 | |
(435) 644-5626 | |
Not Available |
Full Name | Jill Glazier Blasdell |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 329 S 350 E Ste 4, Kanab, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295465417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7742638-8900 (Utah) | Primary |
363LF0000X | Nurse Practitioner - Family | 856084 (Nevada) | Secondary |
Entity Name | Mesquite Clinic Management Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548800501 PECOS PAC ID: 8123456456 Enrollment ID: O20200319000698 |
Mailing Address | Practice Location Address |
---|---|
Jill Glazier Blasdell, 329 S 350 E Ste 4, Kanab, UT 84741-3768 Ph: (435) 644-5626 | Jill Glazier Blasdell, 329 S 350 E Ste 4, Kanab, UT 84741-3768 Ph: (435) 644-5626 |
Miriam Dawn Hughes, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 662 S Hwy 89a, Kanab, UT 84741 Phone: 719-695-0756 | |
Christa J Werlinger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 | |
Sophia Elaine Perez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 | |
Joanne Marie Palmer, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-648-2775 Fax: 435-648-2779 | |
Reggie Michael Gillins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 N Main St, Kanab, UT 84741 Phone: 435-644-4100 Fax: 435-644-3366 |