Individual
PAIGE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4403 HARRISON BLVD STE 1815, OGDEN, UT 84403-3339
(801) 732-5900
(801) 732-5988
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3767283102
UT
363L00000X
Nurse Practitioner
Primary
376728-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3767283102
RN
UT
Enumeration date
07/14/2015
Last updated
09/05/2019
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