| Tillie Borrelli, DNP | |
|
12921 S Vista Station Blvd, Draper, UT 84020-2376 | |
| (801) 823-5811 | |
| Not Available |
| Full Name | Tillie Borrelli |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12921 S Vista Station Blvd, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154872539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 907230 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 6637908-4405 (Utah) | Primary |
| Entity Name | University of Utah Community Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467241554 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
| Entity Name | Molina Healthcare of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619486396 PECOS PAC ID: 8224395041 Enrollment ID: O20171204002662 |
| Mailing Address | Practice Location Address |
|---|---|
| Tillie Borrelli, DNP 5184 Rodeo Cir, Oakley, UT 84055-2101 Ph: (307) 690-5397 | Tillie Borrelli, DNP 12921 S Vista Station Blvd, Draper, UT 84020-2376 Ph: (801) 823-5811 |
Catherine Schultz, DNP, MN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 E 12300 S Ste R400, Draper, UT 84020 Phone: 385-287-1877 |
Rebecca Dawn Roy, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14658 S Bangerter Pkwy Ste 200, Draper, UT 84020 Phone: 801-839-5557 Fax: 801-719-2281 |
Melanie Riederer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-965-3600 |
Angela Rosa, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 656 E 11400 S Ste N, Draper, UT 84020 Phone: 801-849-1604 |
Geoffrey Thomas Osmond, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11760 S 700 E Ste 112, Draper, UT 84020 Phone: 801-572-1186 |
Mckay Norton, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E Ste C, Draper, UT 84020 Phone: 303-385-4140 |
Lehai Lily Austin, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2050 |