Individual
ASHLEY NICOLE MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 E 1300 N, LOGAN, UT 84341-2570
(435) 792-6516
Mailing address
655 E 1300 N, LOGAN, UT 84341-2570
(435) 792-6516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9879369-3102
UT
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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