Amanda L Borup (NPI# 1003372806, PAC ID# 3779823182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003372806 |
| PAC ID by PECOS | 3779823182 |
| Professional Enrollment ID | I20190321002315 |
| Full Name | Amanda L Borup |
| Organization Legal Name | BEAR RIVER MENTAL HEALTH SERVICES INC |
| Address |
90 E 200 Logan UT 84321-4034 |
| Phone Number | 4357520750 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840102356 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460017 | BRIGHAM CITY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 90 E 200, Logan, UT 84321-4034 | 4357520750 | BEAR RIVER MENTAL HEALTH SERVICES INC |
| Organization Legal Name | BEAR RIVER MENTAL HEALTH SERVICES INC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luellen C Brown | Clinical Social Worker | Bear River Mental Health Services Inc | 950 S 663, Brigham City, UT 84302 |
| Curtis D Child | Nurse Practitioner | Bear River Mental Health Services Inc | 663 W 950, Brigham City, UT 84302-3021 |
| Jo Lonna Lynn Bangerter Foy | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Graca De Oliveira Costa | Psychologist, Clinical | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Mark B Anderson | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Cathy Mcmullen | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Kristin Springer | Clinical Social Worker | Bear River Mental Health Services Inc | 663 W 950, Brigham City, UT 84302-3021 |
| Richard S Johnson | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Shiree M Ryan | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Tim C Frost | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Street Address |
90 E 200 |
| City | LOGAN |
| State | UT |
| Zip | 84321-4034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jo Lonna Lynn Bangerter Foy | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Graca De Oliveira Costa | Psychologist, Clinical | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Mark B Anderson | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Cathy Mcmullen | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Richard S Johnson | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Shiree M Ryan | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Tim C Frost | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Christopher A Wade | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Wesley D Spencer | Psychologist, Clinical | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Pamela D Leavenworth | Clinical Social Worker | Bear River Mental Health Services Inc | 90 E 200, Logan, UT 84321-4034 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan R Bertoldo | Obstetrics/gynecology | Mountainstar Medical Group-cache Valley LLC | 2380 N 400, North Logan, UT 84321 |
| Jeffrey J Pulley | Physician Assistant | Alpine Management and Consulting LLC | 55 E Golf Course Rd, Unit B, Logan, UT 84321-0001 |
| Sheridan L Peck | Occupational Therapy | Teamworks Therapy LLC | 642 N 1000, Suite 107, Logan, UT 84321-3140 |
| Todd P Campbell | Physical Therapy | Teamworks Therapy LLC | 642 N 1000, Suite 107, Logan, UT 84321-3140 |
| Michael C Mumford | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Andrew R Christensen | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Stephen K Severe | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Angela K Smith | Physical Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Jordan C Benson | Occupational Therapy | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Eric D Dutson | Speech Language Pathologist | Sunshine Terrace Foundation, Inc | 209 W 300, Logan, UT 84321-3809 |
| Find all physicians in zip 84321 | |||
| City | LOGAN |
| Zip Code | 84321 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOGAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda L Borup.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.