Nicholls, Katie

Nicholls, Katie is an individual health care provider with primary practice located at 3690 S Main St , South Salt Lake UT 84115-4423. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Nicholls, Katie can be contacted via phone (801) 587-2525.

Contact Information

Primary practice address
3690 S Main St South Salt Lake UT 84115-4423
Phone: (801) 587-2525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10970425-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10970425-1206 Utah

Profile Details

NPI number 1851866735
LBN Legal business name Nicholls, Katie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2018
Last updated Mar 16th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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