Individual
NICOLE ROCCANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S MAIN ST STE 230, SALT LAKE CITY, UT 84101-3176
(801) 273-6366
Mailing address
4460 S HIGHLAND DR STE 120, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13034977-3102
UT
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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