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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. NICOLE LEE VAN TASSELL

Active Sole Proprietor

MRS. NICOLE LEE VAN TASSELL is a In Home Supportive Care Agency healthcare provider located in OGDEN, Utah. NPI 1184159022 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · OGDEN, UT

Registration Details

NPI Number
1184159022
Provider Type
Individual
Gender
Female
NPI Issued
Apr 28, 2017 (9.3276847405176 yrs)
Last Updated
Apr 28, 2017
License
82-1257775 (UT)
Sole Proprietor
Yes

Practice Information

Address
1496 EAST 5600 SOUTH
UNIT 6
OGDEN, UT, 84403
Browse UT providers · Browse ZIP 84403
Phone
8014797026
Fax
8014797134
Primary Specialty
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.