Individual provider · Type 1 NPI

Nicole Audrey Nelson, PHYSICIAN ASSISTANT

Physician Assistant · Salt Lake City, UT

NPI number 1508525411 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 662-1619 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 5440 W Sahara Ave Ste 302, Las Vegas, NV 89146-0361 · (702) 633-0207

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X14248504-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1508525411

Nicole Audrey Nelson, PHYSICIAN ASSISTANT's National Provider Identifier is 1508525411, issued on Dec 8, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 14, 2025.