Individual
MICHELLE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4501 N UNIVERSITY AVE, PROVO, UT 84604-5504
(801) 932-2951
Mailing address
1559 S BRIDLE PATH LOOP, LEHI, UT 84043-5006
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
6683081-3102
UT
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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