Individual
SHELBY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
698 12TH ST, OGDEN, UT 84404-6200
(801) 475-3700
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8635821-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861988107
—
UT
Enumeration date
07/10/2018
Last updated
05/04/2021
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