Schon Thomas Knowles, | |
473 S 50 E, Smithfield, UT 84335-1915 | |
(435) 890-9836 | |
Not Available |
Full Name | Schon Thomas Knowles |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 473 S 50 E, Smithfield, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023797081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9836507-4405 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Entity Name | Wholelife Family Wellness Clinic Of Providence Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962049932 PECOS PAC ID: 5193153294 Enrollment ID: O20200324003049 |
Mailing Address | Practice Location Address |
---|---|
Schon Thomas Knowles, 473 S 50 E, Smithfield, UT 84335-1915 Ph: (435) 890-9836 | Schon Thomas Knowles, 473 S 50 E, Smithfield, UT 84335-1915 Ph: (435) 890-9836 |
Marissa Avery, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 628 S 1080 E, Smithfield, UT 84335 Phone: 435-232-7538 | |
Dr. Elizabeth Amick Worley, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1177 S Main St, Smithfield, UT 84335 Phone: 359-948-0534 Fax: 435-994-8054 |