NPI 1760110985 · live from the CMS NPI Registry
Shannon Marie Edelman, AuD, CCC-A
Audiologist in Ogden, UT. National Provider Identifier 1760110985, active.
NPI record
| NPI | 1760110985 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 5349 Adams Ave Pkwy, Ogden, UT 84405 |
| Practice phone | 801-479-3346 |
| Mailing address | 5349 Adams Ave Pkwy Ste C, Ogden, UT 84405 |
| Enumerated | August 15, 2022 |
| Last updated | October 12, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | — (UT) |
| Audiologist primary | 231H00000X | 12852693-4101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.