| Kenzlee Wooden, | |
|
845 S Main St Ste A7, Bountiful, UT 84010-6482 | |
| (801) 298-0903 | |
| Not Available |
| Full Name | Kenzlee Wooden |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 845 S Main St Ste A7, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043851116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 9158154-8900 (Utah) | Primary |
| Entity Name | Freedom Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770916306 PECOS PAC ID: 7416181953 Enrollment ID: O20131016000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenzlee Wooden, 5671 S 650 E, Washington Terrace, UT 84405-1201 Ph: (801) 678-2518 | Kenzlee Wooden, 845 S Main St Ste A7, Bountiful, UT 84010-6482 Ph: (801) 298-0903 |
Andrew Garver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Medical Dr Ste A100, Bountiful, UT 84010 Phone: 801-683-1062 |
Daelyn Tasha Clawson, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-408-8502 |
Sharman Summers Clayton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1659 Lakeview Dr, Bountiful, UT 84010 Phone: 801-793-3357 |
Megan Marie Walters, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 557 W 2600 S, Bountiful, UT 84010 Phone: 801-298-9155 Fax: 801-298-9156 |
Mandi Spens, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781 |
Dr. Trisha Merritt Price-smith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 S Main St Ste 104, Bountiful, UT 84010 Phone: 801-683-9340 |
Miss Lauren Lightfield, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 458 N 500 W, Bountiful, UT 84010 Phone: 801-292-9355 Fax: 801-296-8050 |