Individual
MR. MICHAEL SHAWN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
100 N MEDICAL DR, SLC, UT 84113-1103
(801) 662-4100
Mailing address
5428 HORSESHOE DR, STANSBURY PARK, UT 84074-8190
(435) 843-9275
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
294043-4405
UT
Other
Enumeration date
12/28/2007
Last updated
08/12/2021
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