NICOLE COLEEEN GRANADOS FNP NPI 1558004739

NPI Information

NPI: 1558004739
Provider Name: NICOLE COLEEEN GRANADOS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
395 W COUGAR BLVD STE 105
PROVO, UT
ZIP 84604
Phone: (805) 712-0070
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Nicole Coleeen Granados, FNP is a family nurse practitioner in Provo, UT. Nicole Coleeen Granados, FNP NPI is 1558004739. 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:

395 W COUGAR BLVD STE 105
PROVO, UT
ZIP 84604-311
Phone: (805) 712-0070

The enumeration date for this NPI number is 4/15/2022 and was last updated on 4/15/2022.

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	363LF0000X	Nurse Practitioner	Family	10404764-4405	UTAH	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: 11/14/2023

NPI Synchronization or Removal

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