SHANNON WILKES QUINN APRN NPI 1215583059

NPI Information

NPI: 1215583059
Provider Name: SHANNON WILKES QUINN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OLYMPUS CLINIC

PECOS Registration: Yes

Address:
4624 S HOLLADAY BLVD STE 100
SALT LAKE CITY, UT
ZIP 84117
Phone: (801) 277-2682
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Shannon Wilkes Quinn, APRN is a family nurse practitioner in Salt Lake City, UT with 5 years of experience. Shannon Wilkes Quinn, APRN NPI is 1215583059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4624 S HOLLADAY BLVD STE 100
SALT LAKE CITY, UT
ZIP 84117-056
Phone: (801) 277-2682

The NPI 1215583059 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2019 and was last updated on 10/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	9062677-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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