person
Mrs. Shirley Jean Bleak, FNP-C,MSN,RNC
Family Nurse Practitioner in Salt Lake City, Utah
NPI 1124197512

Shirley Jean Bleak is a Family Nurse Practitioner based in Salt Lake City, UT and is specialized in Family. Shirley Jean Bleak practices in Salt Lake City, UT and has the professional credentials of FNP-C,MSN,RNC. The NPI Number for Shirley Jean Bleak is 1124197512 and holds a License No. 193402-4405 (Utah).

The current practice location address for Shirley Jean Bleak is 5131 Cottonwood St, Salt Lake City, UT and can be reached out via phone at 801-263-3415 and via fax at 801-263-3428.

Location: 5131 Cottonwood St, Salt Lake City, UT, 84124-1214
person
Provider Profile Details
NPI Number
1124197512
Provider Name
Shirley Jean Bleak
Credential
FNP-C,MSN,RNC
Provider Entity Type
Individual
Gender
Female
Address
5131 Cottonwood St, Salt Lake City, UT, 84124-1214
Phone Number
801-263-3415
Fax Number
801-263-3428
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5131 Cottonwood St
City
State
Zip
84107-5701
Phone Number
801-263-3415
Fax Number
801-263-3428
person
Provider Business Mailing Address Details
Address
5131 Cottonwood St
City
State
Zip
84107-5701
Phone Number
801-263-3415
Fax Number
801-263-3428
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
193402-4405 (Utah)
Definition
Definition to come...
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