| Mrs Kim I Beus, FNP-C | |
|
383 E 1900 S, Clearfield, UT 84015 | |
| (801) 388-2189 | |
| Not Available |
| Full Name | Mrs Kim I Beus |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 383 E 1900 S, Clearfield, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639441264 | NPI | - | NPPES |
| 500648185 | Medicaid | OR | |
| 1639441264 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201500-4405 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201250100NP (Oregon) | Primary |
| Entity Name | Living Well Patient Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700337631 PECOS PAC ID: 6507147626 Enrollment ID: O20170314001524 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kim I Beus, FNP-C 383 E 1900 S, Clearfield, UT 84015-6223 Ph: (801) 388-2189 | Mrs Kim I Beus, FNP-C 383 E 1900 S, Clearfield, UT 84015 Ph: (801) 388-2189 |
Mrs. Cynthia L. Haacke, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 W 1700 S, Clearfield, UT 84016 Phone: 801-416-4474 | |
Jordan Warner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 626 E 2000 S, Clearfield, UT 84015 Phone: 435-754-6893 | |
Mr. James Edward Fenton Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 S State St Ste 2, Clearfield, UT 84015 Phone: 385-483-1003 Fax: 386-222-7279 | |
Sara Mollner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1881 S 650 E, Clearfield, UT 84015 Phone: 435-414-7001 | |
Darryl Hardy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 W 1700 S, Clearfield, UT 84016 Phone: 801-416-4675 Fax: 801-416-4636 | |
Adriana Reid, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 S State St Ste 1007, Clearfield, UT 84015 Phone: 801-334-0030 | |
Liena M Brady, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 926 W 1700 S, Clearfield, UT 84015 Phone: 801-614-2100 Fax: 801-614-2101 |