Individual provider · Type 1 NPI
Antonia Ford Sherwood, RN, CPNP, CHPPN
Pediatric Nurse Practitioner · Salt Lake City, UT
NPI number
1740464650
Active
Practice location
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Fax (801) 662-3705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4941472-4405 (UT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1740464650
Antonia Ford Sherwood, RN, CPNP, CHPPN's National Provider Identifier is 1740464650, issued on Dec 27, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 19, 2011.