Healthcare Provider Details

I. General information

NPI: 1649714577
Provider Name (Legal Business Name): FRANCESCA R. NICHOLS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2016
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 W 100 N
MONTICELLO UT
84535-7879
US

IV. Provider business mailing address

380 W 100 N
MONTICELLO UT
84535-7879
US

V. Phone/Fax

Practice location:
  • Phone: 435-587-2116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number10714498-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberDR.0068194
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: