Individual provider · Type 1 NPI

Shalee Jo Fackrell-Speredon

Student in an Organized Health Care Education/Training Program · Heber City, UT

NPI number 1700538600 Active

Practice location

345 W 600 S Ste 103
Heber City, UT 84032-2282

Mailing address

928 E 2810 S
Heber City, UT 84032-1224

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700538600

Shalee Jo Fackrell-Speredon's National Provider Identifier is 1700538600, issued on Jan 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Heber City, UT. The record was last updated on Jan 21, 2022.