Individual
SHANNON WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3039 W 4375 S, ROY, UT 84067-9521
(801) 725-0477
Mailing address
3039 W 4375 S, ROY, UT 84067-9521
(801) 725-0477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123830-4405
UT
Other
Enumeration date
06/18/2018
Last updated
09/26/2018
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