Individual
MS. STACEY KAY SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2554 GRAND POINT CIR, SANDY, UT 84092-3440
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
223232-4405
UT
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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