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NPI Profile for THETA MANAGEMENT CORPORATION in PROVO, UT.
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Addiction (Substance Use Disorder) |
163WA0400X | |||
Case Management |
163WC0400X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Chiropractor |
111N00000X | 35 | Chiropractic | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Health Educator |
174H00000X | |||
Homeopath |
175L00000X | |||
Licensed Practical Nurse |
164W00000X | |||
Mental Health |
101YM0800X | |||
Nutrition, Education |
133NN1002X | |||
Phlebotomy |
246RP1900X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1891036497 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/06/2013 | |
| Last updated | 03/06/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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THETA MANAGEMENT CORPORATION
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| MICHAEL M HADERLIE, PhD 233 S. PLEASANT GROVE BLVD PLEASANT GROVE, UT |
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| ANDREW OLESEN, APRN 922 NOB HILL AVE AMERICAN FORK, UT |
| HARRISON BURNS, LCSW 5284 S COMMERCE DR STE C134 MURRAY, UT |
| NANCY M HOGARTY BAKER, LCSW 5250 SO COMMERCE DR MURRAY, UT |
THETA MANAGEMENT CORPORATION