Individual
CORTNEY ANNE SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 S 300 W, BLANDING, UT 84511-3921
(435) 678-0700
Mailing address
466 W 800 S, BLANDING, UT 84511-3901
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9645214-4405
UT
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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