NICOLE FISHER BASTIDAS SSW NPI 1417068321

NPI Information

NPI: 1417068321
Provider Name: NICOLE FISHER BASTIDAS, SSW
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
750 NORTH 200 WEST
PROVO, UT
ZIP 84601
Phone: (801) 373-4760
Get Directions

Nicole Fisher Bastidas, SSW is a student in an organized health care education training program in Provo, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nicole Fisher Bastidas, SSW NPI is 1417068321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

750 NORTH 200 WEST
PROVO, UT
ZIP 84601
Phone: (801) 373-4760
Fax: (801) 373-0639

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		333885 3503	UTAH	No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »