Nicole Van Tassell

NPI 1184159022 · on the registry since 2017 · sole proprietor

Practice

Address: 1496 East 5600 South
Unit 6
Ogden, UT 84403
Phone: (801) 479-7026
Fax: (801) 479-7134
Organisation at this address: Jon And Nicole Woolsey
Burchcreek Homecare & Hospice, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 253Z00000X
253Z00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah