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Individual

SHANNON TYMCHUK SHARP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
961 W CENTER ST, OREM, UT 84057-5203
(385) 398-1730
Mailing address
961 W CENTER ST, OREM, UT 84057-5203

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12835845-3102
UT
363L00000X
Nurse Practitioner
Primary
12835845-4500
UT

Other

Enumeration date
02/19/2025
Last updated
04/04/2025
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