Individual provider · Type 1 NPI

Shane Mozingo

Family Nurse Practitioner · North Logan, UT

NPI number 1295347474 Active

About NPI 1295347474

Shane Mozingo's National Provider Identifier is 1295347474, issued on Aug 19, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Logan, UT. The record was last updated on Dec 14, 2020.