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1992154777
KELLIE NIELSEN
BRIGHAM CITY, UT
NPI
1992154777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5113808-4405)
Enumeration Date
2016-06-13
Last Update Date
2016-10-18
Business Address
-- KELLIE NIELSEN APRN, FNP
600 W HOSPITAL RD
BRIGHAM CITY, UT 84302-3006
Phone number: 435-734-2041
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Mailing Address
-- KELLIE NIELSEN APRN, FNP
PO BOX 719
BRIGHAM CITY, UT 84302-0719
Phone number: 435-734-2041
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