SANDRA LOUISE MCNICOLL


Address: 5801 Fashion Blvd Ste 175, Murray, UT 84107-8115
Phone: 8013144544

SANDRA LOUISE MCNICOLL (NPI# 1073533188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073533188
Entity Type Individual
Full Name SANDRA LOUISE MCNICOLL
Credential APRN
Practice Address 5801 Fashion Blvd Ste 175
Murray
UT 84107-8115
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8013144544
Mailing Telephone 8013144544
Enumeration Date 2006-07-20
Last Update Date 2007-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
2151388900 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5801 FASHION BLVD STE 175
City MURRAY
State UT
Zip Code 84107-8115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154341279 Christopher John Dehaan Social Worker 5801 Fashion Blvd Ste 175, Murray, UT 84107-8115 2006-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083610869 Caregiver Support Network, Inc Nurse Practitioner 310 E 4500 S, Ste 200, Murray, UT 84107-3993 2005-06-25
1053897116 Amber N Lovell Nurse Practitioner 5121 S Cottonwood St, Murray, UT 84107-5701 2018-07-12
1265805089 Physician Home Care LLC Nurse Practitioner 5292 S College Dr, Ste 304, Murray, UT 84123-2958 2015-11-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952902850 Ivora, Inc. Nurse Practitioner 13894 S Bangerter Pkwy Ste 200, Draper, UT 84020-5320 2020-11-06
1104398361 Lisa Ann Ostrander Nurse Practitioner 1385 W 2200 S, Taylorsville, UT 84119-7205 2018-12-27
1336698091 Marie Jo Borres Nurse Practitioner 2211 W 5100 S, Roy, UT 84067-3422 2016-09-22
1013212802 Your Home Clinic Company Nurse Practitioner 1032 Learned Ave, Salt Lake City, UT 84116-3302 2011-01-25
1558484808 Cynthia Ann Newby Nurse Practitioner 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 2007-04-09
1487761615 Trenaisa Nay Consulting, LLC Nurse Practitioner 10171 Delsey Cv, South Jordan, UT 84095-7108 2006-08-24
1447222849 Perrine Johnson Anderson Nurse Practitioner 2773 Etienne Way, Sandy, UT 84093-1116 2006-02-02
1194345603 Kaitlyn Hayes Pelletier Nurse Practitioner 2000 Circle of Hope Dr # 1950, Salt Lake City, UT 84112-5550 2020-04-24
1588215750 Kimberly Rashelle Weir Nurse Practitioner 1600 W Antelope Dr, Layton, UT 84041-1142 2019-09-27
1396255360 Bernard M Mutie Nurse Practitioner 12433 S Fort St, Draper, UT 84020-9363 2017-10-04
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Competitor

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City MURRAY
Zip Code 84107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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