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Organization
SHAUN GUNDERSEN FNP, PLLC
Active
Organization
SHAUN GUNDERSEN FNP, PLLC
Active
Other names
Gundersen Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN GUNDERSEN (OWNER)
(435) 840-5942
Entity
Organization
Contact information
Practice address
163 S SR 112 HWY UNIT 106, GRANTSVILLE, UT 84029-5520
(435) 264-4164
(435) 264-4264
Mailing address
3976 MARSHALL RD, GRANTSVILLE, UT 84029-9528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
04/24/2024
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