Perrine J Anderson (NPI# 1447222849, PAC ID# 7517915044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447222849 |
| PAC ID by PECOS | 7517915044 |
| Professional Enrollment ID | I20050111000473 |
| Full Name | Perrine J Anderson |
| Organization Legal Name | MA BO INC |
| Address |
522 E 100 Salt Lake City UT 84102-1905 |
| Phone Number | 8014855055 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254399652 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460006 | LDS HOSPITAL |
| 460001 | UTAH VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 522 E 100, Salt Lake City, UT 84102-1905 | 8014855055 | MA BO INC |
| 82 S 1100, Salt Lake City, UT 84102-1889 | PHYSICIAN GROUP OF UTAH INC | |
| 82 S 1100, Suite 303, Salt Lake City, UT 84102-1891 | 8015332002 | PHYSICIAN GROUP OF UTAH INC |
| 82 S 1100, Suite 403, Salt Lake City, UT 84102-1892 | 8015055299 | PHYSICIAN GROUP OF UTAH INC |
| 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703 | PHYSICIAN GROUP OF UTAH INC | |
| 2011 W 4700, Taylorsville, UT 84118-1107 | 8019664286 | MA BO INC |
| 3460 S Pioneer Pkwy, West Valley, UT 84120-2049 | PHYSICIAN GROUP OF UTAH INC | |
| 3336 S Pioneer Pkwy, Suite 204, West Valley City, UT 84120-2014 | 8019129700 | PHYSICIAN GROUP OF UTAH INC |
| 3336 S Pioneer Pkwy, Suite 306, West Valley City, UT 84120-2045 | 8019643855 | PHYSICIAN GROUP OF UTAH INC |
| 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 | 8019643925 | PHYSICIAN GROUP OF UTAH INC |
| 3336 S Pioneer Pkwy, Suite 301, West Valley City, UT 84120-2073 | 8019643865 | PHYSICIAN GROUP OF UTAH INC |
| 3336 S Pioneer Pkwy, Suite 203, West Valley City, UT 84120-6077 | PHYSICIAN GROUP OF UTAH INC |
| Organization Legal Name | MA BO INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon A Strong | Family Practice | Ma Bo Inc | 2011 W 4700, Taylorsville, UT 84118-1107 |
| Mark J Cacciamani | Family Medicine | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Sandra B Jense | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Edith A Shepherd | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Rita Helen Rutland | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Trenaisa M Nay | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Ann E Webb | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Street Address |
522 E 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84102-1905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Cacciamani | Family Medicine | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Sandra B Jense | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Edith A Shepherd | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Rita Helen Rutland | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Trenaisa M Nay | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Ann E Webb | Nurse Practitioner | Ma Bo Inc | 522 E 100, Salt Lake City, UT 84102-1905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy N De La Garza | Family Medicine | 77 S 700, Suite 220, Salt Lake City, UT 84102-1162 | |
| Charles Ty Nuttall | Clinical Social Worker | 699 E S Temple, Suite 300, Salt Lake City, UT 84102-1186 | |
| Darren F Groberg | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Daniel Preece | Podiatry | Utah Podiatric Physicians and Surgeons Group LLC | 144 S 700, Salt Lake City, UT 84102-1357 |
| Steven R Taylor | Otolaryngology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Kian Eftekhari | Ophthalmology | Intermountain Ear Nose and Throat Specialists LLC | 22 S 900, Salt Lake City, UT 84102-1394 |
| Balimar B Lindgren | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Edwin Awinda | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Bernard M Mutie | Nurse Practitioner | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Nathan Michael Hastings | Hospitalist | Santibanez Aguirre PC | 165 S 1000, Salt Lake City, UT 84102-1402 |
| Find all physicians in zip 84102 | |||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALT LAKE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Perrine J Anderson.
| 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.