Individual
SHELLY L NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3571 WEST 10400 SOUTH, SOUTH JORDAN, UT 84095
(801) 523-5303
Mailing address
1043 N 1000 W, AMERICAN FORK, UT 84003-3897
(801) 919-5154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5138127-9934
UT
Other
Enumeration date
10/12/2006
Last updated
07/21/2022
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