Individual
MEAGEN ALENE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3024 W 300 N STE C, WEST POINT, UT 84015-7259
(385) 393-8224
Mailing address
1907 N 4100 W, PLAIN CITY, UT 84404-9725
(801) 618-9116
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11096132-4405
UT
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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