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Contact Information

NICOLE L VAN TASSELL
1496 EAST 5600 SOUTH
UNIT 6
OGDEN, UT84403
 Phone: 801-479-7026
 Fax: 801-479-7134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for NICOLE L VAN TASSELL · (Female)

NPI # 1184159022
Status Active
Credentials
Entity Individual
Enumeration date 04/28/2017
Last updated 04/28/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 82-1257775
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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