Individual provider · Type 1 NPI
Kacie Dickson
Family Nurse Practitioner · West Haven, UT
NPI number
1114840980
Active
Practice location
4679 W 4500 S
West Haven, UT 84401-9396
Fax (435) 640-8106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9267027-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114840980
Kacie Dickson's National Provider Identifier is 1114840980, issued on Jul 30, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Haven, UT. The record was last updated on Jul 30, 2026.