Gagnon, Shawntae Marie

Gagnon, Shawntae Marie is an sole proprietor health care provider with primary practice located at 1660 W Antelope Dr Ste 205 , Layton UT 84041-1165. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Gagnon, Shawntae Marie can be contacted via phone (801) 917-6104.

Contact Information

Primary practice address
1660 W Antelope Dr Ste 205 Layton UT 84041-1165
Phone: (801) 917-6104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 11772267-4402 Utah
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 11772267-4405 Utah

Profile Details

NPI number 1124871942
LBN Legal business name Gagnon, Shawntae Marie
Credentials CNM, WHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2024
Last updated Apr 10th, 2024 - about 2 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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