Provider Demographics
NPI:1548555055
Name:CHESHIRE, SHAUNA LEE (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:SHAUNA
Middle Name:LEE
Last Name:CHESHIRE
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 POLK AVE
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-2044
Mailing Address - Country:US
Mailing Address - Phone:801-564-5522
Mailing Address - Fax:
Practice Address - Street 1:2297 N HILL FIELD RD STE 103
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-6927
Practice Address - Country:US
Practice Address - Phone:385-888-9040
Practice Address - Fax:385-831-2994
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT289820-4405363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health