Individual
SHAUNA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
428 EAST TOPAZ BLVD #D, DELTA, UT 84624
(435) 864-3612
(435) 864-3612
Mailing address
240 N 420 E, DELTA, UT 84624-9176
(435) 864-3612
(435) 864-3612
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
6213294-3102
UT
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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