Individual
COURTNEY LEIGH SHOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 E 12200 S, DRAPER, UT 84020-9723
(801) 368-8989
Mailing address
348 W PLUM PL, SARATOGA SPRINGS, UT 84045-3799
(210) 413-7992
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13654530-4405
UT
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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