| Mr Jonathan Dean Flake, | |
|
980 W 1275 S, Springville, UT 84663-5058 | |
| (801) 380-2538 | |
| Not Available |
| Full Name | Mr Jonathan Dean Flake |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 980 W 1275 S, Springville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376301895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11269438-4405 (Utah) | Primary |
| Entity Name | Cedar Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Dean Flake, 980 W 1275 S, Springville, UT 84663-5058 Ph: () - | Mr Jonathan Dean Flake, 980 W 1275 S, Springville, UT 84663-5058 Ph: (801) 380-2538 |
Erin Anna Tyrrell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 Fax: 801-798-8513 | |
Ellen Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 677 S 950 W, Springville, UT 84663 Phone: 435-621-9335 | |
Desaree Fowler, PNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 672 W 400 S Ste 101, Springville, UT 84663 Phone: 801-491-9883 Fax: 801-489-3141 | |
Michelle Brandt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 | |
Danielle Alair Bate, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 | |
Mrs. Nesha Burrows, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 Fax: 801-798-8513 |