| Roben Ho, | |
|
3665 S 8400 W Ste 110, Magna, UT 84044-4907 | |
| (801) 250-9638 | |
| Not Available |
| Full Name | Roben Ho |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 3665 S 8400 W Ste 110, Magna, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295422574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 9811105-4405 (Utah) | Primary |
| Entity Name | Exodus Healthcare Network Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306952783 PECOS PAC ID: 1456265057 Enrollment ID: O20031118000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Roben Ho, 3665 S 8400 W Ste 110, Magna, UT 84044-4907 Ph: (801) 250-9638 | Roben Ho, 3665 S 8400 W Ste 110, Magna, UT 84044-4907 Ph: (801) 250-9638 |
Lindsay Royer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 | |
Mr. Samuel Weston Potter, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 | |
Justin Ingraham, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 | |
Dr. Tyler Dawn Cooper, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2780 S Autosome Ln Apt A406, Magna, UT 84044 Phone: 775-304-3811 | |
Monique Rose Poisson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 | |
Elizabeth Bernadette Borys, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W Ste 110, Magna, UT 84044 Phone: 801-250-9638 |