Olivia Nelson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Alpine, UT

NPI 1871489005 · NPPES record last updated Jun 16, 2025

Key facts

NPI
1871489005
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
256 N Main St Ste C
Alpine, UT 84004-1477
Phone
(801) 900-3174
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

256 N Main St Ste C
Alpine, UT 84004-1477

Mailing address

744 W 2490 N
Pleasant Grove, UT 84062-7002
Phone (801) 857-0743

Other providers in Alpine, UT

All providers in Alpine, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.