Individual provider · Type 1 NPI
Shawntae Marie Gagnon, CNM, WHNP
Women's Health Nurse Practitioner · Layton, UT
NPI number
1124871942
Active
Practice location
1660 W Antelope Dr Ste 205
Layton, UT 84041-1165
Mailing address
564 Valeria Dr
Layton, UT 84041-3314
Other practice locations
- 564 Valeria Dr, Layton, UT 84041-3314 · (435) 730-5329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Midwife | 367A00000X | 11772267-4402 (UT) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 11772267-4405 (UT) |
Women's Health Nurse Practitioner: Definition to come...
Other women's health nurse practitioner providers in Layton
About NPI 1124871942
Shawntae Marie Gagnon, CNM, WHNP's National Provider Identifier is 1124871942, issued on Apr 10, 2024. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Layton, UT. The record was last updated on Apr 10, 2024.