| Mary E Benally, NP | |
|
2825 E Mall Dr, Saint George, UT 84790-1954 | |
| (435) 673-6131 | |
| (435) 673-8557 |
| Full Name | Mary E Benally |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2825 E Mall Dr, Saint George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417755133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12063601-4405 (Utah) | Primary |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Benally, NP 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Mary E Benally, NP 2825 E Mall Dr, Saint George, UT 84790-1954 Ph: (435) 673-6131 |
Aubrey Ann Crittenden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2133 Kennedy Pl, Saint George, UT 84790 Phone: 435-253-0862 | |
Russell L Rohr, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, Saint George, UT 84790 Phone: 435-251-1600 Fax: 435-251-1610 | |
Angela Stout, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, Saint George, UT 84790 Phone: 435-251-2992 | |
Cameron Debuck, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 S Bluff St Ste 302, Saint George, UT 84770 Phone: 435-634-8488 | |
Christopher George Lamb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 640 E 700 S Ste 105, Saint George, UT 84770 Phone: 435-688-7770 Fax: 435-688-8122 | |
Maranda Ann Nelson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 652 S Medical Center Dr Ste 420, Saint George, UT 84790 Phone: 435-251-6800 | |
Raquel Wall, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1490 E Foremaster Dr Ste 320, Saint George, UT 84790 Phone: 435-359-3115 Fax: 435-319-7123 |