Pezely, Nicole C

Pezely, Nicole C is an individual health care provider with primary practice located at 3809 W 6200 S , Taylorsville UT 84129-3725. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Pezely, Nicole C can be contacted via phone (801) 963-4360.

Contact Information

Primary practice address
3809 W 6200 S Taylorsville UT 84129-3725
Phone: (801) 963-4360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1811478704
LBN Legal business name Pezely, Nicole C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2018
Last updated Aug 28th, 2018 - about 7 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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