| Mr Michael Christian Woodhead, MSN, APRN, FNP-BC | |
|
206 E Bruin Dr, Eagle Mountain, UT 84005-5288 | |
| (385) 209-9978 | |
| Not Available |
| Full Name | Mr Michael Christian Woodhead |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 206 E Bruin Dr, Eagle Mountain, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427896083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11130758-4405 (Utah) | Primary |
| Entity Name | Kindly Md, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225647480 PECOS PAC ID: 8921471897 Enrollment ID: O20230224001420 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Christian Woodhead, MSN, APRN, FNP-BC 206 E Bruin Dr, Eagle Mountain, UT 84005-5288 Ph: (385) 209-9978 | Mr Michael Christian Woodhead, MSN, APRN, FNP-BC 206 E Bruin Dr, Eagle Mountain, UT 84005-5288 Ph: (385) 209-9978 |
Paul Knorr Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4095 E Pony Express Pkwy, Ste 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Weston George Rallis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5256 E Blacksmith Rd, Eagle Mountain, UT 84005 Phone: 801-828-7909 | |
Brooke Ludwig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005 Phone: 801-789-2444 Fax: 801-789-2045 | |
Tahsha T Spackman, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7224 N Skyview Ln, Eagle Mountain, UT 84005 Phone: 208-851-1987 | |
Mr. Lorin Leithead, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 Fax: 801-753-7476 | |
Brian Lee Simmons, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005 Phone: 801-789-5566 Fax: 801-642-2942 | |
Kelsie Faith Beddes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005 Phone: 801-429-8037 |