Healthcare Provider Details

I. General information

NPI: 1699114231
Provider Name (Legal Business Name): SHERRI GUNN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2013
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 MEDICAL DR
BOUNTIFUL UT
84010-5084
US

IV. Provider business mailing address

248 S 1525 W
FARMINGTON UT
84025-5004
US

V. Phone/Fax

Practice location:
  • Phone: 801-923-4122
  • Fax:
Mailing address:
  • Phone: 801-787-5047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5112458-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: