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General NPI Number Information
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NPI Number | 1497984181
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Entity Type | Individual
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Provider Name | HEATHER LYNN SHELLEY FNP, CPM
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Gender | Female
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 394 W. MAIN ST. #206
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City | LEHI
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State | UT
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Zip | 84043-2078
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Country | US
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Telephone | 801-796-2229
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Fax | 385-374-9774
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Provider Business Mailing Address
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Address Line | 394 W. MAIN ST. #206
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City | LEHI
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State | UT
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Zip | 84043-2078
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Country | US
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Telephone | 801-615-1733
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Fax | 385-374-9774
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 7362478-3400
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7362478-4405
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License Number State | UT
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