Organization
SHAUN GUNDERSEN FNP, PLLC
Active
Other names
Gundersen Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN GUNDERSEN (OWNER)
(435) 840-5942
Entity
Organization
Contact information
Practice address
163 S SR 112 HWY UNIT 106, GRANTSVILLE, UT 84029-5520
(435) 264-4164
(435) 264-4264
Mailing address
3976 MARSHALL RD, GRANTSVILLE, UT 84029-9528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
04/24/2024
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