| Ronald Terry Draper, NP, CRNA | |
|
770 S Highway 99, Fillmore, UT 84631-5033 | |
| (435) 253-8000 | |
| (435) 655-5213 |
| Full Name | Ronald Terry Draper |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 770 S Highway 99, Fillmore, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013004498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 195011-4406 (Utah) | Secondary |
| 363L00000X | Nurse Practitioner | 195011-4405 (Utah) | Primary |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Terry Draper, NP, CRNA 1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305 Ph: (435) 864-3333 | Ronald Terry Draper, NP, CRNA 770 S Highway 99, Fillmore, UT 84631-5033 Ph: (435) 253-8000 |
Robbi K Harvey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 S Highway 99, Fillmore, UT 84631 Phone: 435-253-8000 Fax: 801-655-5213 | |
Brian Joseph Huber, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 S Highway 99, Fillmore, UT 84631 Phone: 435-743-5555 | |
Mrs. Denise Lanette Allgood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 S Highway 99, Fillmore, UT 84631 Phone: 435-743-5555 |