Provider Demographics
NPI:1265071138
Name:WASHBURN, SHEILA DAWN (APRN, DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:DAWN
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:APRN, DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N 300 E
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-2332
Mailing Address - Country:US
Mailing Address - Phone:801-319-5491
Mailing Address - Fax:
Practice Address - Street 1:350 N 300 E
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-2332
Practice Address - Country:US
Practice Address - Phone:801-319-5491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-24
Last Update Date:2020-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5333589-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily