MISTY R SHIELDS

BLUFFDALE, UT
NPI1003517343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  6960909-8900)
Enumeration Date2023-03-14
Last Update Date2023-03-14
Business Address
MISTY R SHIELDS
1717 W PACKSADDLE CIR
BLUFFDALE, UT 84065-1299
Phone number: 360-597-8320
Mailing Address
MISTY R SHIELDS
1717 W PACKSADDLE CIR
BLUFFDALE, UT 84065-1299
Phone number: 360-597-8320
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