| Michelle Lynn Lewis, DNP, AGNP-C | |
|
800 E 2600 N, Ogden, UT 84414-2436 | |
| (801) 298-1100 | |
| Not Available |
| Full Name | Michelle Lynn Lewis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 800 E 2600 N, Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467263335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 220457-4405 (Utah) | Primary |
| Entity Name | Canyon Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649748559 PECOS PAC ID: 8123368925 Enrollment ID: O20190313002843 |
| Entity Name | Togo Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699511071 PECOS PAC ID: 2264973437 Enrollment ID: O20240916003251 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Lynn Lewis, DNP, AGNP-C 861 W Pantani Ct, Midvale, UT 84047-5724 Ph: (801) 592-3929 | Michelle Lynn Lewis, DNP, AGNP-C 800 E 2600 N, Ogden, UT 84414-2436 Ph: (801) 298-1100 |
Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714 | |
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110 | |
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795 | |
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572 | |
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797 | |
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702 |