Provider Demographics
NPI:1932353653
Name:ZAUGG, SHEREEN (APRN-C)
Entity Type:Individual
Prefix:
First Name:SHEREEN
Middle Name:
Last Name:ZAUGG
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:SHELLEY
Mailing Address - State:ID
Mailing Address - Zip Code:83274-0176
Mailing Address - Country:US
Mailing Address - Phone:801-689-3389
Mailing Address - Fax:801-689-2320
Practice Address - Street 1:2850 N 2000 W
Practice Address - Street 2:#203
Practice Address - City:FARR WEST
Practice Address - State:UT
Practice Address - Zip Code:84404-9219
Practice Address - Country:US
Practice Address - Phone:801-689-3389
Practice Address - Fax:801-689-2320
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-07
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4942688-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily