Individual
DR. SHALISE HALI OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 W 500 S STE 210, BOUNTIFUL, UT 84010-7254
(801) 797-9121
Mailing address
320 W 500 S STE 210, BOUNTIFUL, UT 84010-7254
(801) 797-9121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8642517-4405
UT
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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