| Tyler Scott Farnsworth, PMHNP-BC | |
|
60 E 3750 S, South Salt Lake, UT 84115-4428 | |
| (801) 486-0911 | |
| Not Available |
| Full Name | Tyler Scott Farnsworth |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 60 E 3750 S, South Salt Lake, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881465359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 13994066-4405 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Scott Farnsworth, PMHNP-BC 2240 Adams Ave, Ogden, UT 84401-1511 Ph: (801) 393-5355 | Tyler Scott Farnsworth, PMHNP-BC 60 E 3750 S, South Salt Lake, UT 84115-4428 Ph: (801) 486-0911 |
Jennifer Michelle Sorto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186 | |
Jennifer Nicole Twohig, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186 | |
Adam Thomas Creer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2880 S Main St Ste 108, South Salt Lake, UT 84115 Phone: 240-356-1000 | |
Zhan Wang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186 | |
Leigh-andrew Thomas Sampson-seitz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3269 S Main St Ste 220, South Salt Lake, UT 84115 Phone: 801-656-7124 Fax: 385-243-3021 | |
Dr. Emily Elizabeth Barrows, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846 | |
Jennifer Ann Gonzalez, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 955 W 3300 S, South Salt Lake, UT 84119 Phone: 801-583-2500 |