Individual
NICOLE LEE THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7264
Mailing address
751 E VALLEY DR, HEBER CITY, UT 84032-1059
(435) 565-0659
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
7484374-4402
UT
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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