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

Shari Bloom, PA-C

Individual provider Physician Assistant · NPI 1053564179

Shari Bloom, PA-C is a Physician Assistant in Park City, Utah. Licensed in Utah. Registered with an NPI since 2008.

Licensed in
UT
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1665 Bonanza Dr
Park City, UT 84060-5127
Phone: (435) 649-7640
Fax: (435) 649-1365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X · Licence MT0903117 (UT)

Record details

NPI number1053564179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 3, 2008
Last updated in NPPESSeptember 4, 2012
Mailing addressPo Box 27128, Salk Lake City, UT 84127-0128

Other providers in Park City