Individual
SHAUNA SKOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2002 E SYLVAN AVE, SALT LAKE CITY, UT 84108-3127
(801) 916-8698
Mailing address
2002 E SYLVAN AVE, SALT LAKE CITY, UT 84108-3127
(180) 148-5177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
191211-4405
UT
Other
Enumeration date
07/22/2018
Last updated
09/26/2022
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