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Contact Information

NICOLE M FOX, PA-C
380 WEST 100 NORTH
MONTICELLO, UT84535
 Phone: 435-587-2116
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE M FOX · (Female)

NPI # 1609357524
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/28/2018
Last updated 08/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10958766-1206
Hospital affiliation(s)
  • MOAB REGIONAL HOSPITAL - (Critical Access)
    450 WEST WILLIAMS WAY
    MOAB, UT 84532
  • SAN JUAN HOSPITAL - (Critical Access)
    380 WEST 100 NORTH
    MONTICELLO, UT 84535
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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