| Dr Jonathan Michael Neilson, DNP | |
|
12391 S 4000 W, Riverton, UT 84096-7012 | |
| (801) 302-1700 | |
| Not Available |
| Full Name | Dr Jonathan Michael Neilson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 12391 S 4000 W, Riverton, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780236109 | NPI | - | NPPES |
| Entity Name | Granger Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Entity Name | Granger Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Michael Neilson, DNP 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Dr Jonathan Michael Neilson, DNP 12391 S 4000 W, Riverton, UT 84096-7012 Ph: (801) 302-1700 |
Mr. Timothy S Garvey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3741 W 12600 S, Outpatient Services, Riverton, UT 84065 Phone: 801-285-1285 | |
Gaylinn Breeze, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 270, Riverton, UT 84065 Phone: 801-285-4600 | |
Jennifer Christine Oleskowicz, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13348 S Market Center Dr, Riverton, UT 84065 Phone: 801-844-1600 Fax: 801-844-1601 | |
Jamie Camille Barker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3723 W 12600 S Ste 430, Riverton, UT 84065 Phone: 801-322-3222 | |
Mekenna Andree Bermingham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 330, Riverton, UT 84065 Phone: 801-285-4543 Fax: 801-285-4540 | |
Dustin Keith Jones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1756 W Park Ave, Riverton, UT 84065 Phone: 801-254-0309 | |
Aubrey Rochelle George, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1700 |