Rebecca Husain, | |
4507 S Encanto Ln, Holladay, UT 84117-4329 | |
(210) 846-2585 | |
Not Available |
Full Name | Rebecca Husain |
---|---|
Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health |
Location | 4507 S Encanto Ln, Holladay, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528880879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 11787926-3102 (Utah) | Primary |
Entity Name | Salt Lake Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
Entity Name | Novu Wellness And Aesthetics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396510152 PECOS PAC ID: 1456701820 Enrollment ID: O20231227001762 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Husain, 4507 S Encanto Ln, Holladay, UT 84117-4329 Ph: (210) 846-2585 | Rebecca Husain, 4507 S Encanto Ln, Holladay, UT 84117-4329 Ph: (210) 846-2585 |
Matthew George Morris, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4611 S Clearview St, Holladay, UT 84117 Phone: 801-792-8157 | |
Mrs. Natalie Anne Davis Brown, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2040 Murray Holladay Rd, Ste 205, Holladay, UT 84117 Phone: 801-274-0299 |