Individual
NICOLE NIELSEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
177 E 900 S STE 203, SALT LAKE CITY, UT 84111-4252
(801) 448-6454
Mailing address
PO BOX 705, SALT LAKE CITY, UT 84110-0705
(801) 448-6454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4859812-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13843
SOUTH DAKOTA MEDICAL LICENSE
SD
01
—
19019
NORTH DAKOTA MEDICAL LICENSE
ND
01
—
328280
LOUISIANA MEDICAL LICENSE
LA
01
—
4859812-1205
UTAH MEDICAL LICENSE
UT
01
—
A169764
CALIFORNIA MEDICAL LICENSE
CA
01
—
CDR.0001262
COLORADO MEDICAL LICENSE
CO
01
—
MD.43646
ALABAMA MEDICAL LICENSE
AL
01
—
MD207221
OREGON MEDICAL LICENSE
OR
01
—
MD61214576
WASHINGTON MEDICAL LICENSE
WA
01
—
ME1674
FLORIDA MEDICAL LICENSE
FL
01
—
THMD00023
ARIZONA MEDICAL LICENSE
AZ
01
—
U0473
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/25/2017
Last updated
07/13/2023
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