Individual
NICOLE PORTER HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107
(801) 507-6415
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
9048517-1205
UT
207RP1001X
Pulmonary Disease Physician
20012
NH
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
9048517-1205
UT
Other
Enumeration date
05/25/2011
Last updated
12/13/2023
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