SearchUtah103K00000X

Shannon Thevenin

NPI 1750873071 · on the registry since 2018

Practice

Address
1875 S Geneva Rd
Orem, UT 84058
Phone
(801) 437-0490
Clinicians at this address
363

Additional practice sites

  • 18737 E Hampden Ave, Aurora, CO

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah