Individual
PARKER STEVEN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
9896 S HEAVENLY CIR, SOUTH JORDAN, UT 84095-4557
(801) 580-7993
Mailing address
9896 S HEAVENLY CIR, SOUTH JORDAN, UT 84095-4557
(801) 580-7993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10823639-4405
UT
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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