| Doctor Name: | MR. MICHAEL SHAWN WARD |
| NPI Number: | 1134304991 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | 294043-4405 |
| Business Practice Address: | 100 N Medical Dr Slc, UT - 841131103 |
| Business Phone Number: | 8016624100 |
| Business Fax Number: | |
| Mailing Address: | 5428 Horseshoe Dr, STANSBURY PARK |
| State: | UT |
| Postal Code: | 840748190 |
| Phone Number: | 4358439275 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2007 |
| NPI Last Update Date: | 12/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0005X |
| License Number: | 294043-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal, Critical Care |
| Taxonomy Definition: | |