Thaxton, Nicole Lily

Thaxton, Nicole Lily is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Thaxton, Nicole Lily can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Phone: (801) 373-4760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1659962009
LBN Legal business name Thaxton, Nicole Lily
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2021
Last updated Sep 8th, 2021 - about 5 years 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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