Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE MOZINGO
Active Sole ProprietorSHANE MOZINGO is a Family Nurse Practitioner healthcare provider located in NORTH LOGAN, Utah. NPI 1295347474 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · NORTH LOGAN, UT
Registration Details
- NPI Number
- 1295347474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2020 (5.9539105256128 yrs)
- Last Updated
- Dec 14, 2020
- License
-
10646550-3102 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2841 N 920 ENORTH LOGAN, UT, 843415806Browse UT providers · Browse ZIP 84341
- Phone
- 4355121066
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in NORTH LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| SYDNIE M HOBBS | APRN | 1033603345 |
| IAN MICHAEL TROESOYER | FNP-C | 1841859501 |
| MICHELLE C BAILEY | FNP | 1952077521 |
| RYAN MACKAY AUSTIN | MSN, APRN, FNP-C | 1366328726 |
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.