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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE A ARCHIBALD, RN, DNP, APRN, FNP-C

Active Sole Proprietor

SHANE A ARCHIBALD, RN, DNP, APRN, FNP-C is a Family Nurse Practitioner healthcare provider located in BOUNTIFUL, Utah. NPI 1861155228 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · BOUNTIFUL, UT

Registration Details

NPI Number
1861155228
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2021 (4.7926158275887 yrs)
Last Updated
Nov 11, 2022
License
7672413-4405 (UT)
Sole Proprietor
Yes

Practice Information

Address
185 S 400 E STE 100
BOUNTIFUL, UT, 840104862
Browse UT providers · Browse ZIP 84010
Phone
8013976200
Fax
8013976201
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in BOUNTIFUL, UT

Name Credential NPI
LISA ANN SHARP FNP 1275524258
LINDA SMITH NILSON FNP-C 1760596225
MRS. SANDRA B WAITE CFNP 1699827014
MR. JEFFREY LEON BOWEN APRN 1578118253
SHERRI GUNN FNP-C 1699114231
TYLER ASHTON BRIDGEWATER FNP-C 1215378377
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.