(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003517343
Provider Name: MISTY R SHIELDS
Entity Type: Individual
Taxonomy Code: 363LP0808X
Specialty: Nurse Practitioner
License Number: 6960909-8900
Most Important Dates
Enumeration Date: 03/14/2023
Last Updated: 03/14/2023
Provider Practice Location
1717 W PACKSADDLE CIR
BLUFFDALE
UT
840651299
Practice Location Phone/Fax
Phone: 3605978320
Fax:
Provider Mailing Location
1717 W PACKSADDLE CIR
BLUFFDALE
UT
840651299
Provider Mailing Phone/Fax
Phone: 3605978320
Fax: