Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHARI BLOOM, PA-C
ActivePhysician Assistant · PARK CITY, UT
Registration Details
- NPI Number
- 1053564179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2008 (17.465760012011 yrs)
- Last Updated
- Sep 4, 2012
- License
-
MT0903117 (UT)
Practice Information
- Address
-
1665 BONANZA DRPARK CITY, UT, 840605127Browse UT providers · Browse ZIP 84060
- Phone
- 4356497640
- Fax
- 4356491365
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Family Nurse Practitioner
Other Physician Assistant Providers in PARK CITY, UT
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA C BERWALD | PA | 1033117874 |
| CAROL A LEATHERMAN | PA | 1700834686 |
| LINDSEY ELIZABETH MARSHALL | PA | 1851406011 |
| EILEEN BURKE-PRICE | — | 1649379413 |
| MS. NATALIE GREVELINK | PA-C | 1407060908 |
| MS. MELINDA S ROALSTAD | PAC | 1740453703 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.