Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shaun Gundersen FNP, PLLC

Organization Nurse Practitioner · NPI 1457002503

Shaun Gundersen FNP, PLLC is a Nurse Practitioner in Grantsville, Utah. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

163 S Sr 112 Hwy Unit 106
Grantsville, UT 84029-5520
Phone: (435) 264-4164
Fax: (435) 264-4264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1457002503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaun Gundersen — Owner · (435) 840-5942
Other names Gundersen Family Practice; Gundersen Family Practice
NPI enumeratedJanuary 11, 2022
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address3976 Marshall Rd, Grantsville, UT 84029-9528