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Ethan B Shipp
Psychiatric/Mental Health Nurse Practitioner in Murray, Utah
NPI 1114403698

Ethan B Shipp is a Psychiatric/Mental Health Nurse Practitioner based in Murray, UT and is specialized in Psychiatric/Mental Health. Ethan B Shipp practices in Murray, UT. The NPI Number for Ethan B Shipp is 1114403698 and holds a License No. 5560934-4405 (Utah).

The current practice location address for Ethan B Shipp is 650 E 4500 S Ste 300, Murray, UT and can be reached out via phone at 801-261-3500.

Location: 650 E 4500 S Ste 300, Murray, UT, 84107-4502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114403698
Provider Name
Ethan B Shipp
Credential
Provider Entity Type
Individual
Gender
Male
Address
650 E 4500 S Ste 300, Murray, UT, 84107-4502
Phone Number
801-261-3500
Fax Number
Provider Enumeration Date
07/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
650 E 4500 S Ste 300
City
Murray
State
Utah
Zip
84107-4502
Phone Number
801-261-3500
Fax Number
person
Provider Business Mailing Address Details
Address
650 E 4500 S Ste 300
City
Murray
State
Utah
Zip
84107-4502
Phone Number
801-261-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
5560934-4405 (Utah)
Definition
Definition to come...
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