| Peggy Lynn Wallace, APRN | |
|
2132 N 1700 W, Ste 100, Layton, UT 84041-7059 | |
| (801) 807-7900 | |
| (801) 807-7904 |
| Full Name | Peggy Lynn Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2132 N 1700 W, Ste 100, Layton, 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 |
|---|---|---|---|
| 1841862059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 114266-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Nursing Services | West valley city, UT | Home health agency |
| Holy Cross Hospital-davis | Layton, UT | Hospital |
| University Of Utah Hospital And Clinics | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 1230 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy Lynn Wallace, APRN 1115 E 1675 N, North Ogden, UT 84404-3379 Ph: (801) 675-6624 | Peggy Lynn Wallace, APRN 2132 N 1700 W, Ste 100, Layton, UT 84041-7059 Ph: (801) 807-7900 |
Jennifer C Green, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 838 E 625 S, Layton, UT 84041 Phone: 801-725-5595 |
Holland Clawson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2132 N 1700 W, Ste 110, Layton, UT 84041 Phone: 801-779-3500 Fax: 801-779-3508 |
Lisa Nicole Harding, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2132 N Robins Dr Ste 300, Layton, UT 84041 Phone: 801-821-2781 |
Shae Francom, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 University Park Blvd, Layton, UT 84041 Phone: 801-779-6200 |
Mr. Robert J Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2084 N 1700 W, Layton, UT 84041 Phone: 801-773-8644 |
Jonathan D Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3225 W Gordon Ave Ste 1, Layton, UT 84041 Phone: 801-397-6150 Fax: 801-397-6151 |
Elizabeth Regan Harwell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 Fax: 801-336-1787 |