SHARRON MARIE LUNDEEN
NPI 1164907317
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Provo, UT
Active since October 03, 2018
About Sharron Marie Lundeen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHARRON MARIE LUNDEEN (NPI 1164907317) is an individual psychiatric/mental health, child & adolescent provider in Provo, Utah, licensed in Utah (8676879-3102) and active in the NPI registry since October 2018.
NPPES Registry Identity
NPI1164907317
Entity TypeIndividualFemale
Primary Taxonomy163WP0807X
Provider Legal NameSHARRON MARIE LUNDEEN
Location Address4501 N UNIVERSITY AVEProvo, UT 84604-5504
Mailing Address4501 N University AveProvo, UT 84604-5504 · (801) 932-2591
Phone(801) 932-2591
Sole ProprietorNo
Enumeration DateOctober 3, 2018
✔ NPI 1164907317 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in UT · 8676879-3102
4501 N UNIVERSITY AVE, Provo, UT 84604
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatric Residential Treatment Facility
4501 N UNIVERSITY AVE
PROVO, UT 84604
PROVO, UT 84604
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
4501 N UNIVERSITY AVE
PROVO, UT 84604
PROVO, UT 84604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164907317, enumerated as an "individual" on October 03, 2018.
The provider is located at 4501 N UNIVERSITY AVE PROVO, UT 84604 and the phone number is (801) 932-2591.
Registered Nurse with taxonomy code 163WP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.