Individual
NIKOLE REEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3777 S 3550 W, WEST HAVEN, UT 84401-4704
(801) 725-7787
Mailing address
3777 S 3550 W, WEST HAVEN, UT 84401-4704
(801) 725-7787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5387702-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5387702-4405
APRN
UT
Enumeration date
01/18/2022
Last updated
01/18/2022
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