EDEN FAMILY CARE AND MEDICAL AESTHETICS (NPI# 1467977884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467977884 |
| Entity Type | Organization |
| Organization Name | EDEN FAMILY CARE AND MEDICAL AESTHETICS |
| Practice Address |
2612 N Highway 162 Eden UT 84310-9745 |
| Mailing Address |
Po Box 687 Eden UT 84310-0687 |
| Practice Telephone | 8012179230 |
| Practice Fax Number | 8012179230 |
| Mailing Telephone | 8012179230 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | MS. MARY ELIZABETH GARDNER (NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 8012179230 |
| Authorized Official Credential | FNP/CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9758122-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2612 N HIGHWAY 162 |
| City | EDEN |
| State | UT |
| Zip Code | 84310-9745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493614 | Jared Andrew Rose | Physical Therapist | 2131 N 5500 E, Eden, UT 84310 | 2019-02-11 |
| 1396862801 | Kermit Kim Cowley | Pharmacist | 2555 N. Wolf Creek Drive, Eden, UT 84310 | 2007-03-22 |
| 1346253515 | Roe Rx Inc | Durable Medical Equipment & Medical Supplies | 2555 North Wolf Creek Drive, Eden, UT 84310 | 2006-08-15 |
| 1023019593 | Bradley D Benard | Physical Therapist | 4920 E 2550 N, Unit C, Eden, UT 84310 | 2005-08-09 |
| 1770892366 | Trent C Henderson | Physical Therapist | 4920 E 2550 N, Unit C, Eden, UT 84310 | 2010-09-29 |
| 1003147745 | Michelle Ashby Cherry | Counselor | 2461 N Shady Lane, Eden, UT 84310-1091 | 2010-01-20 |
| 1164061370 | Oak Hill Medical Group LLC | Family Medicine | 6781 N 2100 E, Liberty, UT 84310-4701 | 2020-01-06 |
| 1902101892 | Chun Il Mah | Radiology | 4218 Sunrise Dr, Eden, UT 84310-6764 | 2011-01-24 |
| 1639492978 | Lorrie Harper | Physical Therapist | 4794 E 2600 N, Suite B, Eden, UT 84310-9535 | 2010-03-01 |
| 1013532001 | Aspen Wayment | Student in an Organized Health Care Education/Training Program | 2531 Shaw Dr, Liberty, UT 84310-9705 | 2020-06-15 |
| Find all providers in zip 84310 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285693960 | Beth Ann Dekoninck | Nurse Practitioner | 207 E Meadow Rd Ste 6, Eden, NC 27288-3469 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742016 | Luz Elena Reni | Nurse Practitioner | 593 Millcreek Way, Bountiful, UT 84010-3920 | 2020-08-31 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1356952840 | Sandra Robles | Nurse Practitioner | 6671 S Redwood Rd Ste 101, West Jordan, UT 84084-7489 | 2020-08-10 |
| 1265050660 | Dana Michelle Roach | Nurse Practitioner | 3435 E Pony Express Pkwy Ste 104, Eagle Mountain, UT 84005-5515 | 2020-07-12 |
| 1174141964 | Kaitlyn Miller Albrecht | Nurse Practitioner | 14094 S Candy Pull Dr, Draper, UT 84020-7511 | 2020-07-08 |
| 1700403540 | Brady Ardell Byington | Nurse Practitioner | 6654 Willow Creek Rd, Mountain Green, UT 84050-6810 | 2020-06-27 |
| 1528697950 | Meagan Mckean | Nurse Practitioner | 2486 E Newport Cir, Cottonwood Heights, UT 84121-5642 | 2020-04-07 |
| 1104487677 | Brandilyn Rolfe | Nurse Practitioner | 2629 Cottage Ct, Park City, UT 84098-8226 | 2019-06-25 |
| 1447819974 | Andrew Brice Heinecke | Nurse Practitioner | 6807 S 3200 W, West Jordan, UT 84084-1828 | 2019-06-09 |
| 1124499769 | Gunnison Valley Hospital | Nurse Practitioner | 131 E Main St # 3, Salina, UT 84654-1335 | 2015-10-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.