MEDICARE: NICOLE EDWARDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1023446317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE EDWARDS

Provider Business Mailing Address
First Line	:	1477 S 1300 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-2565
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1477 S 1300 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-2565
Country	:	US
Telephone Number	:	801-213-5350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2013
Last Update Date	:	10/23/2013

Similar Medicare Providers

1518053412 — BRIAN RANDLE DMD
Practice Location Address:

1140 BRICKYARD RD , 32B
SALT LAKE CITY, UT
84106-2565

Practice Phone: 801-474-9552
Practice Fax:

1134340698 — DR. JARED CRAIG JESPERSON DDS
Practice Location Address:

1140 BRICKYARD RD , #32B
SALT LAKE CITY, UT
84106-2565

Practice Phone: 801-474-9552
Practice Fax: 801-474-9558

1073735619 — UTAH ORTHODONTIC CARE,P.C.
Practice Location Address:

1140 BRICKYARD RD , #32B
SALT LAKE CITY, UT
84106-2565

Practice Phone: 801-474-9552
Practice Fax: 801-474-9558

1730472283 — MS. MARCI L PHILLIPS LCSW
Practice Location Address:

2565 WELLINGTON ST
SALT LAKE CITY, UT
84106-4009

Practice Phone: 801-467-2497
Practice Fax:

1891643987 — TDS JERSEY CITY HEIGHTS LLC
Practice Location Address:

741 SECAUCUS RD
JERSEY CITY, NJ
07307-2565

Practice Phone: 201-754-1100
Practice Fax:

1538931993 — NEUROMATTERS AND WELLNESS APNC
Practice Location Address:

914 E 8TH ST STE 210
NATIONAL CITY, CA
91950-2565

Practice Phone: 619-837-2560
Practice Fax: 619-786-3637

Directions to “ NICOLE EDWARDS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.