Individual
NICOLE MARIE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
380 WEST 100 NORTH, MONTICELLO, UT 84535
(435) 587-2116
Mailing address
7131 S TOWNCREST DR, COTTONWOOD HEIGHTS, UT 84121-3822
(385) 242-5205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10958766-1206
UT
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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