| Noelle Mortensen Haines, APRN FNP-BC | |
|
2796 S 2000 E, Salt Lake City, UT 84109-1737 | |
| (301) 693-7830 | |
| Not Available |
| Full Name | Noelle Mortensen Haines |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2796 S 2000 E, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285214205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10216868-4405 (Utah) | Primary |
| Entity Name | Amazing Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487836532 PECOS PAC ID: 5991606329 Enrollment ID: O20040117000199 |
| Entity Name | Patients Choice Providers of Utah LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497595011 PECOS PAC ID: 1557807278 Enrollment ID: O20240718000929 |
| Mailing Address | Practice Location Address |
|---|---|
| Noelle Mortensen Haines, APRN FNP-BC 12433 S Fort St, Draper, UT 84020-9363 Ph: (801) 576-1086 | Noelle Mortensen Haines, APRN FNP-BC 2796 S 2000 E, Salt Lake City, UT 84109-1737 Ph: (301) 693-7830 |
Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999 |
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600 |
Emma Fong, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000 |
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766 |
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761 |
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 |
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166 |