Individual
HANFORD BLITCH SHUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2183 W MAIN ST STE A107, LEHI, UT 84043-6761
(385) 203-1215
(801) 655-5217
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8773078-4405
UT
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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