| Trevor Tonks, | |
|
3590 W 9000 S, West Jordan, UT 84088-8857 | |
| (801) 352-8373 | |
| Not Available |
| Full Name | Trevor Tonks |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 3590 W 9000 S, West Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639816168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 10222556-3102 (Utah) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 12905695-4405 (Utah) | Primary |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Entity Name | Onsite Advanced Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184293136 PECOS PAC ID: 7911300058 Enrollment ID: O20210727001182 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Tonks, 5121 S Cottonwood St, Murray, UT 84107-5701 Ph: () - | Trevor Tonks, 3590 W 9000 S, West Jordan, UT 84088-8857 Ph: (801) 352-8373 |
Peggy Anne Jerome, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8537 Redwood Rd, Suite A - Main Level, West Jordan, UT 84088 Phone: 801-568-2898 | |
Megan Bliss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 | |
Thuy Vuong Nguyen Tran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8047 S Barton Ridge Rd, West Jordan, UT 84081 Phone: 385-267-9151 | |
Karty Dormera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3895 W 7800 S Ste 100, West Jordan, UT 84088 Phone: 801-280-7774 Fax: 801-748-2790 | |
Kim Sundstrom, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9289 S Redwood Rd Ste C, West Jordan, UT 84088 Phone: 801-568-2898 | |
Bari Michelle King, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3570 W 9000 S, Suite, 100, West Jordan, UT 84088 Phone: 801-569-1999 Fax: 801-569-2001 | |
Elyse E Lake, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3354 W 7800 S, West Jordan, UT 84088 Phone: 801-282-2677 Fax: 801-282-2050 |