Individual
ALICE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E CENTER ST, SUITE 2200, PROVO, UT 84606-3106
(801) 851-8000
Mailing address
776 E 300 N, PROVO, UT 84606-3308
(541) 231-9860
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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