Individual
MRS. NICOLE KAY IPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
312 DAWSON LN, TOOELE, UT 84074-8975
(385) 272-6271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8419562-3102
UT
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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