| Perrine Johnson Anderson, APRN | |
|
2773 Etienne Way, Sandy, UT 84093-1116 | |
| (801) 273-1085 | |
| (801) 273-4097 |
| Full Name | Perrine Johnson Anderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 2773 Etienne Way, Sandy, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447222849 | NPI | - | NPPES |
| 652558 | Other | UT | DESERET MUTUAL |
| 942938348PA4 | Other | UT | EDUCATORS MUTUAL |
| 107029320101 | Other | UT | INTERMOUNTAIN HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 2105664405 (Utah) | Primary |
| Entity Name | Ma Bo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740461219 PECOS PAC ID: 1254399652 Enrollment ID: O20050103000257 |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Perrine Johnson Anderson, APRN Po Box 307, Bountiful, UT 84011-0307 Ph: (888) 700-6907 | Perrine Johnson Anderson, APRN 2773 Etienne Way, Sandy, UT 84093-1116 Ph: (801) 273-1085 |
Loandra Berg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Ste 110, Sandy, UT 84094 Phone: 801-501-6100 | |
Angela Marie Miller, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11562 S Hickory Valley Dr, Sandy, UT 84092 Phone: 435-901-1995 | |
Theresa Brooke Sligting, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9600 S 1300 E Ste 220, Sandy, UT 84094 Phone: 801-571-0009 | |
Benjamin Zachariah Rollins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 E Mingo Park Dr, Sandy, UT 84070 Phone: 801-554-4784 | |
Miriam Dawn Hughes, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Sandy, UT 84094 Phone: 801-501-2160 | |
Dylan Roy Richmond, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7984 S 1300 E, Sandy, UT 84094 Phone: 916-412-6333 | |
Jennifer Lyn Aragon, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9980 S 300 W Ste 200, Sandy, UT 84070 Phone: 385-495-4151 Fax: 844-596-0409 |