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Individual

SHARON L STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120-2049
(801) 993-1566
(801) 733-5618
Mailing address
1876 BROOKHILL DR, SALT LAKE CITY, UT 84121-2944
(801) 898-2971

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
324721-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
218591
ALTIUS
UT
01
28925
HEALTHY U
UT
01
32472144000001
OTHER
UT
01
78481
PEHP
UT
01
TPRA09184
MOLINA
UT
Enumeration date
09/14/2006
Last updated
07/08/2007
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