Individual
SHELBY C COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
884 E 1250 N, PLEASANT GROVE, UT 84062-9125
(801) 796-2236
Mailing address
884 E 1250 N, PLEASANT GROVE, UT 84062-9125
(801) 796-2236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11995185-3102
UT
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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