IndividualActive
Sharron Lundeen
NPI 1164907317 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Provo, UT
Provider details
- NPI number
- 1164907317
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8676879-3102 (UT)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 8676879-3102 (UT)
Nursing Service Providers
Practice location
4501 N University Ave
Provo, UT 84604-5504
Phone: (801) 932-2591
Approximate (ZIP-level) locationGet directions
Mailing address
4501 N University Ave
Provo, UT 84604-5504
Registry dates
- Enumerated
- 2018-10-03
- Last updated
- 2018-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.