Individual
SHANNON BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1525 E 6000 S, SOUTH OGDEN, UT 84405-7144
(801) 337-5800
Mailing address
1525 E 6000 S, SOUTH OGDEN, UT 84405-7144
(801) 337-5800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
283634-4405
UT
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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