Individual
SHANDA MAXFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5801 S FASHION BLVD STE 180, MURRAY, UT 84107-8135
(012) 627-2468
Mailing address
11886 S POULTRY DR, DRAPER, UT 84020-6813
(801) 913-0316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14105487-4405
UT
Other
Enumeration date
05/02/2023
Last updated
06/27/2025
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