Healthcare Provider Details

I. General information

NPI: 1932989720
Provider Name (Legal Business Name): NICOLE JEAN SADLER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 W 300 N STE 5
HYDE PARK UT
84318-4044
US

IV. Provider business mailing address

338 W 300 N STE 5
HYDE PARK UT
84318-4044
US

V. Phone/Fax

Practice location:
  • Phone: 435-774-4113
  • Fax: 435-567-0128
Mailing address:
  • Phone: 435-774-4113
  • Fax: 435-567-0128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9047195-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9047195-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: