| Kourtney Atwood, APRN | |
|
125 S Main St, Helper, UT 84526-1535 | |
| (435) 472-7000 | |
| Not Available |
| Full Name | Kourtney Atwood |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 125 S Main St, Helper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962928978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6239108-4405 (Utah) | Primary |
| Entity Name | Four Corners Community Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487715330 PECOS PAC ID: 2769377415 Enrollment ID: O20040220000304 |
| Entity Name | Carbon Medical Service Association, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497717821 PECOS PAC ID: 4183535115 Enrollment ID: O20050606001229 |
| Mailing Address | Practice Location Address |
|---|---|
| Kourtney Atwood, APRN 125 S Main St, Helper, UT 84526-1535 Ph: (435) 472-7000 | Kourtney Atwood, APRN 125 S Main St, Helper, UT 84526-1535 Ph: (435) 472-7000 |
Trent Benjamin Greenhalgh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 S Main St, Helper, UT 84526 Phone: 435-888-4411 |