Most Relevant Information
Provider Data
| NPI Number: | 1003283466 |
| Provider Name: | MEGAN NICHOLS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 38946297 |
Most Important Dates
| Enumeration Date: | 09/01/2015 |
| Last Updated: | 02/05/2017 |
Provider Practice Location
750 N FREEDOM BLVD
PROVO
UT
846011677
Practice Location Phone/Fax
| Phone: | 8013734760 |
| Fax: | 8013730639 |
Provider Mailing Location
750 N FREEDOM BLVD
PROVO
UT
846011677
Provider Mailing Phone/Fax
| Phone: | 8013734760 |
| Fax: | 8013730639 |