Shane Mozingo
Shane Mozingo is a Nurse Practitioner in North Logan, Utah. Qualified in 2023, 3 years ago. Practices with Atlas Medical Alaska LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.
- Years since qualifying
- 3
- Licensed in
- UT
- In the registry since
- 2020
Practice location Address checks out
2841 N 920 ENorth Logan, UT 84341-5806
Phone: (435) 512-1066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 10646550-3102 (UT) |
|---|
Record details
| NPI number | 1295347474 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 19, 2020 |
| Last updated in NPPES | December 14, 2020 |
| Certification date | December 14, 2020 |
| Mailing address | 2841 N 920 E, North Logan, UT 84341-5806 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Atlas Medical Alaska Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in North Logan
-
Ryan Mackay Austin, MSN, APRN, FNP-C
1515 N 400 E Ste 104, North Logan, UT 84341-7595 · (435) 755-6061
-
Michelle C Bailey, FNP
2380 N 400 E Ste B, North Logan, UT 84341-1756 · (435) 752-5741
-
Sydnie M Hobbs, APRN
1760 N 200 E Ste 101, North Logan, UT 84341-1202 · (435) 787-0560
-
Ian Michael Troesoyer, FNP-C
1515 N 400 E Ste 104, North Logan, UT 84341-7595 · (435) 755-6061