Individual
NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
133 S 500 E, VERNAL, UT 84078-2728
(435) 247-1196
(435) 781-0536
Mailing address
133 S 500 E, VERNAL, UT 84078-2728
(435) 247-1196
(435) 781-0536
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
348429-3102
UT
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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