SANDRA LOUISE MCNICOLL APRN NPI 1073533188

NPI Information

NPI: 1073533188
Provider Name: SANDRA LOUISE MCNICOLL, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
5801 FASHION BLVD STE 175
MURRAY, UT
ZIP 84107
Phone: (801) 314-4544
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Sandra Louise Mcnicoll, APRN is a gerontology nurse practitioner in Murray, UT. Sandra Louise Mcnicoll, APRN NPI is 1073533188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5801 FASHION BLVD STE 175
MURRAY, UT
ZIP 84107-115
Phone: (801) 314-4544

The enumeration date for this NPI number is 7/20/2006 and was last updated on 10/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	2151388900	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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