Individual
NICHOLE OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7285 W 21200 N, PLYMOUTH, UT 84330-7727
(435) 458-9205
Mailing address
2254 N 2850 W, PLAIN CITY, UT 84404-9254
(801) 430-8337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
348050-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
348050-4405
UT
Other
Enumeration date
08/23/2024
Last updated
10/16/2024
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