Individual
NYKOLE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS; LCGC
Contact information
Practice address
4401 HARRISON BLVD, RADIATION/ONCOLOGY, OGDEN, UT 84403-3195
(801) 387-7485
Mailing address
4401 HARRISON BLVD, RADIATION/ONCOLOGY, OGDEN, UT 84403-3195
(801) 387-7485
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
10077756-3601
UT
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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