Individual
NAOMI SHEA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1055 N 300 W STE 400, PROVO, UT 84604-3359
(801) 592-7971
Mailing address
1055 N 300 W STE 400, PROVO, UT 84604
(801) 357-7404
(801) 357-7587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5903890-4405
UT
Other
Enumeration date
06/17/2015
Last updated
10/14/2015
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