Cuddeback, Nichole

Cuddeback, Nichole is an individual health care provider with primary practice located at 9660 S 1300 E , Sandy UT 84094-3762. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Cuddeback, Nichole can be contacted via phone (801) 727-2056.

Contact Information

Primary practice address
9660 S 1300 E Sandy UT 84094-3762
Phone: (801) 727-2056
Fax: (770) 701-6675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024168646 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3094717-4406 Utah

Profile Details

NPI number 1124350137
LBN Legal business name Cuddeback, Nichole
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2010
Last updated Mar 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124350137 NPPES
Virginia MEDICAID 1124350137

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