Shaun Gundersen Fnp, Pllc
NPI #1457002503 in Grantsville, Utah
Provider Information
- NPI Number
- 1457002503
- Entity Type
- Organization
- Organization Name
- Shaun Gundersen Fnp, Pllc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 11, 2022
- Last Updated
- Apr 24, 2024
Practice Location
- Address
- 163 S SR 112 HWY UNIT 106
- City
- Grantsville
- State
- Utah
- ZIP Code
- 84029-5520
- Phone
- (435) 264-4164
Authorized Official
- Name
- SHAUN GUNDERSEN
- Title
- OWNER
- Phone
- (435) 840-5942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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