Dr Nichole Loser Nielsen, PHD is a
Psychologist - Clinical based in Eagle Mountain, Utah. Dr Nichole Loser Nielsen is licensed to practice in Utah (license number 90948752501) and her current practice location is
4462 E Bridleway Rd, Eagle Mountain, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 472-2493.
NPI number for Dr Nichole Loser Nielsen is 1609234996 and her current mailing address is 4462 E Bridleway Rd, Eagle Mountain, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609234996.
Healthcare Provider's Profile
| Full Name | Dr Nichole Loser Nielsen |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 4462 E Bridleway Rd, Eagle Mountain, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609234996
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 02/02/2016
Medical Identifiers
Medical identifiers for Dr Nichole Loser Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609234996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 90948752501 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nichole Loser Nielsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Nichole Loser Nielsen, PHD 4462 E Bridleway Rd, Eagle Mountain, UT 84005-5874 Ph: (801) 472-2493 | Dr Nichole Loser Nielsen, PHD 4462 E Bridleway Rd, Eagle Mountain, UT 84005-5874 Ph: (801) 472-2493 |
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