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Shaune Bullock, FNP
Family Nurse Practitioner in Sandy, Utah
NPI 1841802634

Shaune Bullock is a Family Nurse Practitioner based in Tooele, UT and is specialized in Family. Shaune Bullock practices in Sandy, UT and has the professional credentials of FNP. The NPI Number for Shaune Bullock is 1841802634 and holds a License No. 201825-8900 (Utah).

The current practice location address for Shaune Bullock is 8899 S 700 E Ste 250, Sandy, UT and can be reached out via phone at 801-996-4306.

Location: 8899 S 700 E Ste 250, Sandy, UT, 84074-0954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841802634
Provider Name
Shaune Bullock
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
8899 S 700 E Ste 250, Sandy, UT, 84074-0954
Phone Number
801-996-4306
Fax Number
Provider Enumeration Date
08/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8899 S 700 E Ste 250
City
Sandy
State
Utah
Zip
84070-1813
Phone Number
801-996-4306
Fax Number
person
Provider Business Mailing Address Details
Address
8899 S 700 E Ste 250
City
Sandy
State
Utah
Zip
84070-1813
Phone Number
801-996-4306
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201825-8900 (Utah)
Definition
Definition to come...
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