Ole Martin Einelund
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Moab, UT
NPI 1427463561 · NPPES record last updated Jun 27, 2014
Key facts
- NPI
- 1427463561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 7805035-3102 (UT)
- Practice address
- 198 East Center Street
Moab, UT 84532-0000 - Phone
- (435) 259-6131
- Fax
- (435) 259-5369
- NPI assigned
- Jun 27, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7805035-3102 | UT | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Corners Community Behavioral Health, Inc. | Past |
Accepting new patients | |
| Four Corners Community Behavioral Health Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 7805035-3102 | UT | Yes |
Addresses
Primary practice location
198 East Center Street
Moab, UT 84532-0000
Mailing address
PO Box 867
Price, UT 84501-0867
Phone (435) 637-7200
Other providers in Moab, UT
- Melonie Dolphin
- Richard Donham
- Dr. Tyler H. Jolley, DMD PC Doing Business As Jolley Smiles
- Melisa Dull
- Kelly Rae Durrant
- Elevated Health Moab LLC
- Cheri Engberson
- Brian Neiman Ershadi
- Tiffany Fay
- James Anthony Ferro
All providers in Moab, UT · Psychiatric/Mental Health Registered Nurse in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.