Nicole Grange

NPI #1649883133 in Orem, Utah

Provider Information

NPI Number: 1649883133
Entity Type: Individual
Name: Nicole Grange
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Aug 25, 2020
Last Updated: Sep 10, 2020

Practice Location

Address: 581 W 1600 N
City: Orem
State: Utah
ZIP Code: 84057-2571
Phone: (180) 147-3396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Case Manager/Care Coordinator	171M00000X	Primary

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