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Individual

ANN SHIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
144 S MAIN ST, ALPINE, UT 84004-1666
(801) 763-7107
Mailing address
144 S MAIN ST, ALPINE, UT 84004-1666
(801) 763-7107

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11193762-4405
UT
363L00000X
Nurse Practitioner
SP013990
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP013990
CRNP FAMILY HEALTH
PA
Enumeration date
11/21/2014
Last updated
10/23/2024
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