Kandice Rose Nielson M.D.

NPI 1720252513 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1720252513
Gender Female
Enumeration Date 04/14/2008
Last Updated 02/09/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
620 MEDICAL DR.
STE 340
BOUNTIFUL UT, 84010, US
Phone (801) 299-2229
Fax (801) 299-3800
Business Location
PO BOX 27128
STE 340
SALT LAKE CITY UT, 84127-0128, US
Phone (801) 706-4888
Fax (801) 299-3800
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Kandice Rose Nielson M.D. NPI is 1720252513, taxonomy code is 390200000X Kandice Rose Nielson M.D. physically located at 620 Medical Dr., Bountiful UT, 84010. NPI Number Kandice Rose Nielson M.D. has the Individual type.

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1720252513 NPI number is provided on an as is basis without warranty of any kind. 1720252513 is maintained by the National Plan & Provider Enumeration System. The contents of Kandice Rose Nielson M.D. are for informational purposes only.