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General NPI Number Information
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NPI Number | 1932989720
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Entity Type | Individual
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Provider Name | NICOLE JEAN SADLER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 338 W 300 N STE 5
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City | HYDE PARK
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State | UT
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Zip | 84318-4044
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Country | US
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Telephone | 435-774-4113
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Fax | 435-567-0128
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Provider Business Mailing Address
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Address Line | 338 W 300 N STE 5
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City | HYDE PARK
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State | UT
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Zip | 84318-4044
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Country | US
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Telephone | 435-774-4113
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Fax | 435-567-0128
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9047195-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9047195-3102
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License Number State | UT
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