| Nicole Marie Greene, APRN | |
|
12921 S Vista Station Blvd, Draper, UT 84020-2376 | |
| (435) 354-9746 | |
| Not Available |
| Full Name | Nicole Marie Greene |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 12921 S Vista Station Blvd, Draper, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538830989 | NPI | - | NPPES |
| 8483463-4405 | Other | UT | APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 8483463-4405 (Utah) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 8483463-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canyon Home Care | Salt lake city, UT | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mmg Llc | 5991039489 | 6 |
| Entity Name | Mmg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295392645 PECOS PAC ID: 5991039489 Enrollment ID: O20190703001917 |
| Entity Name | Valley West Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508558156 PECOS PAC ID: 3173057338 Enrollment ID: O20241111000902 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Greene, APRN 458 W Blazer Ln, Stansbury Park, UT 84074-1290 Ph: (435) 840-8918 | Nicole Marie Greene, APRN 12921 S Vista Station Blvd, Draper, UT 84020-2376 Ph: (435) 354-9746 |
Catherine Schultz, DNP, MN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 E 12300 S Ste R400, Draper, UT 84020 Phone: 385-287-1877 | |
Rebecca Dawn Roy, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14658 S Bangerter Pkwy Ste 200, Draper, UT 84020 Phone: 801-839-5557 Fax: 801-719-2281 | |
Melanie Riederer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-965-3600 | |
Angela Rosa, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 656 E 11400 S Ste N, Draper, UT 84020 Phone: 801-849-1604 | |
Mckay Norton, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E Ste C, Draper, UT 84020 Phone: 303-385-4140 | |
Lehai Lily Austin, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2050 | |
Dr. Brynn Jenkins Jorgensen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 138 E 12300 S Unit 657, Draper, UT 84020 Phone: 801-696-9459 Fax: 385-525-3732 |