Individual provider · Type 1 NPI

Sandra Louise McNicoll, APRN

Gerontology Nurse Practitioner · Murray, UT

NPI number 1073533188 Active

Practice location

5801 Fashion Blvd Ste 175
Murray, UT 84107-8115

Call (801) 314-4544 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2151388900 (UT)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1073533188

Sandra Louise McNicoll, APRN's National Provider Identifier is 1073533188, issued on Jul 20, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Murray, UT. The record was last updated on Oct 16, 2007.