Individual
MELISSA DEWEY SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 CIRCLE OF HOPE, CLINIC 2E, SALT LAKE CITY, UT 84112-5550
(801) 585-0100
(801) 587-9792
Mailing address
127 S 500 E STE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6705
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
335086-4405
UT
363LA2100X
Acute Care Nurse Practitioner
335086-4405
UT
363LA2200X
Adult Health Nurse Practitioner
Primary
335086-4405
UT
Other
Enumeration date
03/23/2007
Last updated
10/22/2021
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