Shane Mozingo is a family nurse practitioner in North Logan, UT with 1 years of experience. Shane Mozingo NPI is 1295347474. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2841 N 920 E
NORTH LOGAN, UT
ZIP 84341-806
Phone: (435) 512-1066
The NPI 1295347474 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 8/19/2020 and was last updated on 12/14/2020.