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NPI Code Detail

MEDICARE: SHANNON QUINN DUNLOP APRN

MEDICARE:   SHANNON QUINN DUNLOP  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WX0003XInpatient Obstetric Registered Nurse6654802-3102UT
2363LF0000XFamily Nurse Practitioner6654802-4405UT

General Provider Information

NPI Number : 1750624672
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON QUINN DUNLOP APRN
Provider Business Mailing Address
First Line : 1444 YUMA STREET
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108
Country : US
Telephone Number : 801-828-0996
Fax Number :
Provider Business Practice Location Address
First Line : 2621 S 3270 W
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84119
Country : US
Telephone Number : 385-261-2614
Fax Number : 877-497-4661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2013
Last Update Date : 02/06/2023

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