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MS. ANTONIA FORD SHERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CPNP, CHPPN

Contact information

Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3771
(801) 662-3705
Mailing address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3771
(801) 662-3705

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4941472-4405
UT

Other

Enumeration date
12/27/2007
Last updated
12/19/2011
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