Individual
DR. NICOLE PERSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N MARIO CAPECCHI DR, PEDIATRIC RESIDENCY OFFICE, SALT LAKE CITY, UT 84113-1103
(801) 662-5700
Mailing address
100 N MARIO CAPECCHI DR, PEDIATRIC RESIDENCY OFFICE, SALT LAKE CITY, UT 84113-1103
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
10104218-1205
UT
Other
Enumeration date
04/01/2015
Last updated
06/01/2022
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