Individual provider · Type 1 NPI
Nicolette Moore, APRN, FNP-BC
Family Nurse Practitioner · Salt Lake City, UT
NPI number
1114688819
Active
Practice location
1770 E Fort Union Blvd Ste 101
Salt Lake City, UT 84121-2881
Mailing address
2387 N 3130 W
Lehi, UT 84043-7308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 7487553-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114688819
Nicolette Moore, APRN, FNP-BC's National Provider Identifier is 1114688819, issued on Jan 4, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 4, 2022.