Healthcare Provider Details

I. General information

NPI: 1629903604
Provider Name (Legal Business Name): SHARRAI JANAE PIFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1912 W 930 N
PLEASANT GROVE UT
84062-4104
US

IV. Provider business mailing address

343 N 800 W
PROVO UT
84601-2561
US

V. Phone/Fax

Practice location:
  • Phone: 801-492-1999
  • Fax:
Mailing address:
  • Phone: 801-540-2438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: