person
Katie Nicholls, PA-C
Medical Physician Assistant in Taylorsville, Utah
NPI 1851866735

Katie Nicholls is a Medical Physician Assistant based in West Valley City, UT and is specialized in Medical. Katie Nicholls practices in Taylorsville, UT and has the professional credentials of PA-C. The NPI Number for Katie Nicholls is 1851866735 and holds a License No. 10970425-1206 (Utah).

The current practice location address for Katie Nicholls is 4745 S 3200 W, Taylorsville, UT and can be reached out via phone at 801-964-6214 and via fax at 801-746-0420.

Location: 4745 S 3200 W, Taylorsville, UT, 84119-1119
person
Provider Profile Details
NPI Number
1851866735
Provider Name
Katie Nicholls
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4745 S 3200 W, Taylorsville, UT, 84119-1119
Phone Number
801-964-6214
Fax Number
801-746-0420
Provider Enumeration Date
10/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4745 S 3200 W
City
State
Zip
84129
Phone Number
801-964-6214
Fax Number
801-746-0420
person
Provider Business Mailing Address Details
Address
4745 S 3200 W
City
State
Zip
84129
Phone Number
801-964-6214
Fax Number
801-746-0420
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10970425-1206 (Utah)
Definition
Definition to come...
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