| Ronald Terry Draper, NP, CRNA | |
|
140 White Sage Ave, Delta, UT 84624-8928 | |
| (435) 864-3333 | |
| (435) 864-2790 |
| Full Name | Ronald Terry Draper |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 140 White Sage Ave, Delta, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013004498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 195011-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Delta Community Hospital | Delta, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Revere Health Pc | 7517868508 | 407 |
| Entity Name | Revere Health 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 140 White Sage Ave, Delta, UT 84624-8928 Ph: (435) 864-3333 |
Janna Mcdonald, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Juniper St, Delta, UT 84624 Phone: 435-531-1296 |
Kolby Theron Andersen, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 W Brush Wellman Rd, Delta, UT 84624 Phone: 435-660-0776 Fax: 435-864-6597 |
Mandy Lynn Lemmon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 White Sage Ave, Delta, UT 84624 Phone: 435-864-3333 |