Doctor Name: | MRS. SHARON RENAE DAVIS |
NPI Number: | 1790036689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP - BC |
License Number: | 331560-4405 |
Business Practice Address: | 5869 W Muirwood Dr Herriman, UT - 840968203 |
Business Phone Number: | 8014508403 |
Business Fax Number: | |
Mailing Address: | 5869 West Muirwood Drive, HERRIMAN |
State: | UT |
Postal Code: | 84096 |
Phone Number: | 8014508403 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2012 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | 331560-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |