| Katherine Brunner, DNP | |
| 12391 S 4000 W, Riverton, UT 84096-7012 | |
| (801) 965-3600 | |
| Not Available | 
| Full Name | Katherine Brunner | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| 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 | 
|---|---|---|---|
| 1710689609 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 359323-3102 (Utah) | Primary | 
| 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 | 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 | 
|---|---|
| Katherine Brunner, DNP 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-8360 | Katherine Brunner, DNP 12391 S 4000 W, Riverton, UT 84096-7012 Ph: (801) 965-3600 | 
| 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: Medicare Enrolled 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: Medicare Enrolled 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 |