Tegan Elizabeth Spangrude, DNP-S is a
Student In An Organized Health Care Education/training Program based in Salt Lake City, Utah. Tegan Elizabeth Spangrude is licensed to practice in * (Not Available) (license number ) and her current practice location is
500 Foothill Dr, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 582-1565.
NPI number for Tegan Elizabeth Spangrude is 1164152997 and her current mailing address is 1018 W Rambler Dr, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164152997.
Provider's Profile
Full Name | Tegan Elizabeth Spangrude |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 500 Foothill Dr, Salt Lake City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164152997
- Provider Enumeration Date: 06/14/2022
- Last Update Date: 06/14/2023
Medical Identifiers
Medical identifiers for Tegan Elizabeth Spangrude such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164152997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 9415641-3102 (Utah) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tegan Elizabeth Spangrude is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tegan Elizabeth Spangrude, DNP-S 1018 W Rambler Dr, Salt Lake City, UT 84116-2230 Ph: () - | Tegan Elizabeth Spangrude, DNP-S 500 Foothill Dr, Salt Lake City, UT 84148-5880 Ph: (801) 582-1565 |
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