Individual
MRS. EDITH A SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN LLC
Contact information
Practice address
6923 W LONG RIDGE DR, HERRIMAN, UT 84096-3466
(801) 662-8951
(801) 542-0671
Mailing address
6923 W LONG RIDGE DR, HERRIMAN, UT 84096-3466
(801) 662-8951
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
225182-4405
UT
Other
Enumeration date
11/20/2009
Last updated
01/31/2015
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