IndividualActive
Roman Fox-Nikolaev
NPI 1013703032 · Community Health Worker · West Valley City, UT
Roman Fox-Nikolaev is a Community Health Worker provider in West Valley City, UT (NPI 1013703032).
Provider details
- NPI number
- 1013703032
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
2655 S Lake Erie Dr
West Valley City, UT 84120-7350
Phone: (385) 441-4900
Street-level locationGet directions
Mailing address
325 E 300 S Apt 410
Salt Lake City, UT 84111-3231
Registry dates
- Enumerated
- 2025-04-16
- Last updated
- 2025-04-16
- Certified
- 2025-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.