IndividualActive
Cortney Shumway
NPI 1609469949 · Pediatric Nurse Practitioner · Blanding, UT
Provider details
- NPI number
- 1609469949
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9645214-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
910 S 300 W
Blanding, UT 84511-3921
Phone: (435) 678-0700
Approximate (ZIP-level) locationGet directions
Mailing address
466 W 800 S
Blanding, UT 84511-3901
Registry dates
- Enumerated
- 2021-02-17
- Last updated
- 2021-02-17
- Certified
- 2021-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.