Individual
SHAWNA MARIE DEMMITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N, FNP-C
Contact information
Practice address
1247 S 860 W, PROVO, UT 84601-6516
(801) 623-8524
Mailing address
1247 S 860 W, PROVO, UT 84601-6516
(801) 623-8524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13189062-4405
UT
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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