Individual
NICHOLAS BLAINE EDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
5169 S COTTONWOOD ST STE 510, MURRAY, UT 84107-6767
(801) 507-3513
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9406183-4405
UT
Other
Enumeration date
08/28/2024
Last updated
01/06/2026
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