NPI 1003517343

Misty R Shields

Practitioner Psychiatric/Mental Health Nurse Practitioner Bluffdale, UT

Practice location

Address: 1717 W Packsaddle Cir, Bluffdale, UT 84065-1299
Phone: (360) 597-8320

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 6960909-8900 (UT)

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Registry record

NPI: 1003517343
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2023
Record last updated: 14 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.