| Kathryn Kimberly Shaw, DNP, FNP-BC | |
|
1750 Sidewinder Dr, Park City, UT 84060-7570 | |
| (435) 649-7640 | |
| (435) 645-7768 |
| Full Name | Kathryn Kimberly Shaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1750 Sidewinder Dr, Park City, Utah |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952105975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9848969-4405 (Utah) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 9848969-4405 (Utah) | Secondary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Kimberly Shaw, DNP, FNP-BC Po Box 27128, Salt Lake City, UT 84127-0128 Ph: Not Available | Kathryn Kimberly Shaw, DNP, FNP-BC 1750 Sidewinder Dr, Park City, UT 84060-7570 Ph: (435) 649-7640 |
Matthew Weston Pommerville, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Snow Creek Dr, Park City, UT 84060 Phone: 435-655-0055 Fax: 435-655-8979 |
Marilyn Jean Klein, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Bonanza Dr, Park City, UT 84060 Phone: 435-649-5989 Fax: 435-649-5991 |
Beth Silvero, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Round Valley Dr, Park City, UT 84060 Phone: 435-333-1850 |
Brandilyn Rolfe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2629 Cottage Ct, Park City, UT 84098 Phone: 404-201-0666 |
Mrs. Erin Hanson Doppelheuer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Hollyhock St, Park City, UT 84098 Phone: 703-966-4255 |
Karissa Keagan Jackson, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1776 Park Ave Ste 211, Park City, UT 84060 Phone: 385-464-3980 Fax: 385-464-3990 |
Danielle M Demeter, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1526 Ute Blvd Ste 212, Park City, UT 84098 Phone: 435-615-8500 Fax: 435-214-7246 |