Individual
NICOLE ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5171 S COTTONWOOD ST STE 740, SALT LAKE CITY, UT 84107-5705
(801) 507-9700
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 647-7556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8412717-4405
UT
Other
Enumeration date
07/14/2015
Last updated
03/01/2017
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