Individual
SHAYLEE C PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5711 S 1475 E STE 201, SOUTH OGDEN, UT 84403-5185
(801) 332-9034
(678) 203-9134
Mailing address
5711 S 1475 E STE 201, SOUTH OGDEN, UT 84403-5185
(801) 332-9034
(678) 203-9134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8614262-4405
UT
Other
Enumeration date
04/12/2022
Last updated
10/31/2023
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