person
Nicole Marie Greene, APRN
Gerontology Nurse Practitioner in Salt Lake City, Utah
NPI 1538830989

Nicole Marie Greene is a Gerontology Nurse Practitioner based in Stansbury Park, UT and is specialized in Gerontology. Nicole Marie Greene practices in Salt Lake City, UT and has the professional credentials of APRN. The NPI Number for Nicole Marie Greene is 1538830989 and holds a License No. 8483463-4405 (Utah).

The current practice location address for Nicole Marie Greene is 450 S 900 E Ste 100, Salt Lake City, UT and can be reached out via phone at 801-456-2333 and via fax at 801-456-2330. You can also correspond with Nicole Marie Greene through the mailing address at 127 LAKEVIEW, STANSBURY PARK, UT - 84074-1921 (mailing address contact number: 435-840-8918).

Location: 450 S 900 E Ste 100, Salt Lake City, UT, 84074-1921
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Provider Profile Details
NPI Number
1538830989
Provider Name
Nicole Marie Greene
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
450 S 900 E Ste 100, Salt Lake City, UT, 84074-1921
Phone Number
801-456-2333
Fax Number
801-456-2330
Provider Enumeration Date
09/24/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8483463-4405 01 UT APRN LICENSE
institution
Provider Business Practice Location Address Details
Address
450 S 900 E Ste 100
City
State
Zip
84102-2983
Phone Number
801-456-2333
Fax Number
801-456-2330
person
Provider Business Mailing Address Details
Address
450 S 900 E Ste 100
City
State
Zip
84102-2983
Phone Number
801-456-2333
Fax Number
801-456-2330
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
8483463-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
8483463-4405 (Utah)
Definition
Definition to come...
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