ETHAN B SHIPP

MURRAY, UT
NPI1114403698
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  5560934-4405)
Enumeration Date2018-07-17
Last Update Date2023-04-27
Business Address
ETHAN B SHIPP
650 E 4500 S STE 300
MURRAY, UT 84107-4502
Phone number: 801-261-3500
Mailing Address
ETHAN B SHIPP
650 E 4500 S STE 300
MURRAY, UT 84107-4502
Phone number: 801-261-3500