Individual
MS. SHELLEY SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
223 SOUTH 200 EAST, ENTERPRISE, UT 84725-0370
(435) 878-2281
(435) 878-2434
Mailing address
223 SOUTH 200 EAST STREET, ENTERPRISE, UT 84725-0370
(435) 878-2281
(435) 878-2434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
267385-4405
UT
Other
Enumeration date
09/20/2006
Last updated
12/02/2011
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