Bleak, Shirley Jean
Bleak, Shirley Jean is an individual health care provider with primary practice located at 5131 Cottonwood St L-2, Salt Lake City UT 84107-5701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bleak, Shirley Jean can be contacted via phone (801) 263-3415.Contact Information
Primary practice address
5131 Cottonwood St L-2
Salt Lake City UT 84107-5701
Phone: (801) 263-3415
Fax: (801) 263-3428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 193402-4405 | Utah |
Profile Details
| NPI number | 1124197512 |
|---|---|
| LBN Legal business name | Bleak, Shirley Jean |
| Credentials | FNP-C, MSN, RNC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jan 15th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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