Ashley Nicole McCollum
Registered Nurse in Logan, UT. Individual provider (NPI-1).
NPI number1982109575
StatusActive
Last updated in NPPESMar 27, 2018
Details
- NPI
- 1982109575
- Entity type
- Individual (NPI-1)
- Name
- Ashley Nicole McCollum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2018
- Last updated
- Mar 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 9879369-3102 | UT | Yes |
Practice location
655 E 1300 NLogan, UT 84341-2570
Phone 435-792-6516
Mailing address
655 E 1300 NLogan, UT 84341-2570
Phone 435-792-6516
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