Individual provider · Type 1 NPI

Ethan B. Shipp

Psychiatric/Mental Health Nurse Practitioner · Murray, UT

NPI number 1114403698 Active

Practice location

650 E 4500 S Ste 300
Murray, UT 84107-4502

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5560934-4405 (UT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1114403698

Ethan B. Shipp's National Provider Identifier is 1114403698, issued on Jul 17, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Murray, UT. The record was last updated on Apr 27, 2023.