Individual
SHAYLEY RAE DOCKSTADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 479-2111
Mailing address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 479-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
90305704405
UT
Other
Enumeration date
05/23/2022
Last updated
05/12/2025
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