Individual
SHELLY EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
10968 N ALPINE HWY, HIGHLAND, UT 84003-8874
(801) 763-2900
(801) 763-2929
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 855-2900
(801) 855-2929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
219649-4405
UT
Other
Enumeration date
06/22/2006
Last updated
06/28/2022
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