Individual
SHARON B MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12681 S BEAR MEADOW CT, DRAPER, UT 84020-9677
(801) 913-1070
Mailing address
12681 S BEAR MEADOW CT, DRAPER, UT 84020-9677
(801) 913-1070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225316-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
225316-4405
UT
Other
Enumeration date
03/02/2023
Last updated
03/27/2023
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