MEDICARE: MEGAN MADDOX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WD0400X	Diabetes Educator Registered Nurse	8609162-3102	UT

General Provider Information

NPI Number	:	1285255547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MADDOX

Provider Business Mailing Address
First Line	:	395 W COUGAR BLVD STE 401
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-3338
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 W COUGAR BLVD STE 401
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-3338
Country	:	US
Telephone Number	:	801-357-7546
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2020
Last Update Date	:	04/28/2020

Similar Medicare Providers

1265907497 — REBECCA F ISAACSON NP
Practice Location Address:

395 W COUGAR BLVD STE 401
PROVO, UT
84604-3338

Practice Phone: 801-357-7546
Practice Fax: 801-357-8840

1003975145 — JOHN HAROLD BALL PA-C
Practice Location Address:

395 W BULLDOG BLVD STE 401
PROVO, UT
84604-3338

Practice Phone: 801-357-7546
Practice Fax: 801-357-8840

1457722563 — MATTHEW LEWIS
Practice Location Address:

395 W COUGAR BLVD STE 401
PROVO, UT
84604-3338

Practice Phone: 801-357-7546
Practice Fax:

1407359078 — IHC HEALTH SERVICES INC
Practice Location Address:

395 W COUGAR BLVD STE 403
PROVO, UT
84604-3338

Practice Phone: 801-357-4141
Practice Fax:

1922636448 — JOHN THOMAS LUNG
Practice Location Address:

395 W COUGAR BLVD STE 401
PROVO, UT
84604-3338

Practice Phone: 801-357-7546
Practice Fax:

1730753195 — NATHAN JENTZSCH RN
Practice Location Address:

395 W COUGAR BLVD STE 401
PROVO, UT
84604-3338

Practice Phone: 801-357-7747
Practice Fax:

Directions to “ MEGAN MADDOX ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.