IndividualActive
Sandra Mcnicoll, APRN
NPI 1073533188 · Gerontology Nurse Practitioner · Murray, UT
Provider details
- NPI number
- 1073533188
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2151388900 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5801 Fashion Blvd Ste 175
Murray, UT 84107-8115
Phone: (801) 314-4544
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2007-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.