Individual
NICHOLE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-4691
Mailing address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-4691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8352727-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8352727-4405
UT
Other
Enumeration date
02/03/2025
Last updated
05/28/2025
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