SHAUN GUNDERSEN FNP-C NPI 1659721934

NPI Information

Shaun Gundersen, FNP-C is a family nurse practitioner in Salt Lake City, UT with 8 years of experience. Shaun Gundersen, FNP-C NPI is 1659721934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

348 E 4500 S STE 300
SALT LAKE CITY, UT
ZIP 84107-535
Phone: (801) 266-2777
Fax: (801) 266-1377

The NPI 1659721934 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 6/16/2016 and was last updated on 8/8/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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