NPI 1053109959
Mikelle Shaw
Practice location
- Address
- 60 S Main St, Brigham City, UT 84302-6719
- Phone
- (435) 239-8768
- Mailing address
- PO Box 827, Brigham City, UT 84302-0827
Registered specialties
Social Worker
Primary
Registry record
- NPI
- 1053109959
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Apr 2025
- Record last updated
- 29 Apr 2025
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.