Provider Demographics
NPI:1467062570
Name:SHEWELL, ADRIANNE F (WHNP)
Entity Type:Individual
Prefix:DR
First Name:ADRIANNE
Middle Name:F
Last Name:SHEWELL
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3043 W WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6451
Mailing Address - Country:US
Mailing Address - Phone:801-850-1246
Mailing Address - Fax:
Practice Address - Street 1:654 S 900 E
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-3430
Practice Address - Country:US
Practice Address - Phone:801-322-5571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7063363-4405363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health