Provider Demographics
NPI:1700911906
Name:COMBE, SHARI LYN (MPAS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:LYN
Last Name:COMBE
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:PO BOX 581289
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84158-1289
Mailing Address - Country:US
Mailing Address - Phone:801-587-7575
Mailing Address - Fax:801-587-7471
Practice Address - Street 1:100 N MEDICAL DR
Practice Address - Street 2:CLINIC B
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113
Practice Address - Country:US
Practice Address - Phone:801-662-1717
Practice Address - Fax:801-662-1710
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT106361-1206363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical