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Contact Information

TRACY D NICHOLS, MSN CPNP
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-662-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TRACY D NICHOLS · (Female)

NPI # 1518218577
Status Active
Credentials MSN CPNP
Entity Individual
Enumeration date 09/30/2012
Last updated 03/09/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 217015-8900
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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