Individual
NICHOLE CHALISE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1446 W PLEASANT GROVE BLVD, PLEASANT GROVE, UT 84062-3216
Mailing address
75 S 500 W, SALEM, UT 84653-9304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84056654405
UT
Other
Enumeration date
06/11/2017
Last updated
06/11/2017
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