Individual
SHALENE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1664 S DIXIE DR STE E102, ST GEORGE, UT 84770-7329
(435) 703-9647
(435) 703-6003
Mailing address
782 S RIVER RD # 175, SAINT GEORGE, UT 84790-5716
(435) 619-5493
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9674350-4405
UT
Other
Enumeration date
09/12/2022
Last updated
08/30/2023
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