| Doctor Name: | SHAUNA NELSON |
| NPI Number: | 1124215579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 6213294-3102 |
| Business Practice Address: | 428 East Topaz Blvd #d Delta, UT - 84624 |
| Business Phone Number: | 4358643612 |
| Business Fax Number: | 4358643612 |
| Mailing Address: | 240 N 420 E, DELTA |
| State: | UT |
| Postal Code: | 846249176 |
| Phone Number: | 4358643612 |
| Fax Number: | 4358643612 |
| NPI Enumeration Date: | 10/01/2007 |
| NPI Last Update Date: | 10/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 6213294-3102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |