Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELBY MARYANN MODEROW
ActiveSHELBY MARYANN MODEROW is a Medical Physician Assistant healthcare provider located in HILL AFB, Utah. NPI 1366164535 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HILL AFB, UT
Registration Details
- NPI Number
- 1366164535
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2022 (3.9608419791634 yrs)
- Last Updated
- Sep 14, 2022
Practice Information
- Address
-
7321 BALMER ST # 570HILL AFB, UT, 840565012Browse UT providers · Browse ZIP 84056
- Phone
- 8015862273
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.