Individual
NICCOLE VAUN DUNFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
12103721-3102
UT
363L00000X
Nurse Practitioner
Primary
12103721-4405
UT
Other
Enumeration date
08/31/2022
Last updated
02/12/2026
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