| Shannon Walker, NP | |
|
3039 W 4375 S, Roy, UT 84067-9521 | |
| (801) 725-0477 | |
| Not Available |
| Full Name | Shannon Walker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3039 W 4375 S, Roy, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891289427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 123830-4405 (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 |
|---|---|
| Shannon Walker, NP 3039 W 4375 S, Roy, UT 84067-9521 Ph: (801) 725-0477 | Shannon Walker, NP 3039 W 4375 S, Roy, UT 84067-9521 Ph: (801) 725-0477 |
Mark Roland Nickle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5305 S 1900 W, Roy, UT 84067 Phone: 801-825-5648 | |
Jerrica Elizabeth Stoddard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5640 S 3500 W, Roy, UT 84067 Phone: 801-773-2838 Fax: 801-773-3025 | |
Mr. Phil H Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Emily Shanafelt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Sarah Breckinridge Wadhams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Sandra Lowe Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4254 S 2450 W, Roy, UT 84067 Phone: 801-388-8086 | |
Jill Woodring, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3443 W 5600 S, Roy, UT 84067 Phone: 801-773-4840 Fax: 801-525-8151 |