NICOLETTE CARLY HANSEN


Address: 50 N Medical Dr Bldg 525, Salt Lake City, UT 84132-0001
Phone: 8015812098

NICOLETTE CARLY HANSEN (NPI# 1033698832) 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) 1033698832
Entity Type Individual
Full Name NICOLETTE CARLY HANSEN
Credential APRN, BSN, RN
Practice Address 50 N Medical Dr Bldg 525
Salt Lake City
UT 84132-0001
Mailing Address 30 L St
Salt Lake City
UT 84103-3458
Practice Telephone 8015812098
Mailing Telephone 8018703070
Enumeration Date 2018-08-13
Last Update Date 2018-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
9050261-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 50 N MEDICAL DR BLDG 525
City SALT LAKE CITY
State UT
Zip Code 84132-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194242925 Jeanette Louise Seidel Nurse Practitioner 50 N Medical Dr Bldg 525, Salt Lake City, UT 84132-0001 2017-08-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619152444 Janet C Buchanan Nurse Practitioner 5121 South Cottonwood Drive, Newborn Icu, Salt Lake City, UT 84157-7000 2007-12-28
1770195943 Lisa M Schaeffer Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-19
1932758935 Sara Marie Hooper Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-09-11
1811544604 Angela Hall Birkeland Nurse Practitioner 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 2019-08-26
1073168761 Sarah Elizabeth Williams Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-08-08
1104307198 Dallin Douglas Willes Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2018-08-27
1568940377 Kathryn Russell Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132 2018-08-02
1609395359 Jennifer J Mills Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2017-09-13
1053834614 Jennica Eilleen Royce Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2017-07-25
1639543846 Moriah Taylor Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2015-11-26
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84132

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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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