Individual
NICOLE LENORE MIHALOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4578 S HIGHLAND DR STE 380, MILLCREEK, UT 84117-4204
(801) 306-3632
(801) 306-3633
Mailing address
4107 E OAKVIEW DR, SALT LAKE CITY, UT 84124-4043
(801) 306-3632
(801) 306-3633
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
5946961-1205
UT
208000000X
Pediatrics Physician
Primary
5946961-1205
UT
Other
Enumeration date
11/03/2006
Last updated
04/26/2026
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