Individual
KELLIE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
600 W HOSPITAL RD, BRIGHAM CITY, UT 84302-3006
(435) 734-2041
(435) 723-8028
Mailing address
PO BOX 719, BRIGHAM CITY, UT 84302-0719
(435) 734-2041
(435) 723-8028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5113808-4405
UT
Other
Enumeration date
06/13/2016
Last updated
10/18/2016
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