Annemarie Christopulos
Annemarie Christopulos is a Nurse Practitioner in South Weber, Utah. Qualified in 2022, 4 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 4
- Licensed in
- UT
- In the registry since
- 2022
Practice location Address checks out
8212 Deer Run WaySouth Weber, UT 84405-7160
Phone: (801) 971-1642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 11096359-4405 (UT) |
|---|
Record details
| NPI number | 1518684448 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 21, 2022 |
| Last updated in NPPES | October 21, 2022 |
| Certification date | October 21, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Tanner Memorial Clinic — 252 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in South Weber
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My Home Medical LLC
6595 S Silver Oak Ln, South Weber, UT 84405-9741 · (801) 540-5580