Nicole Durham Klossner, is a
Student In An Organized Health Care Education/training Program based in Taylorsville, Utah. Nicole Durham Klossner is licensed to practice in Utah (license number ) and her current practice location is
3509 W 4700 S, Taylorsville, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 990-4300.
NPI number for Nicole Durham Klossner is 1073212189 and her current mailing address is Po Box 330, Magna, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073212189.
Healthcare Provider's Profile
| Full Name | Nicole Durham Klossner |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3509 W 4700 S, Taylorsville, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073212189
- Provider Enumeration Date: 02/27/2023
- Last Update Date: 02/27/2023
Medical Identifiers
Medical identifiers for Nicole Durham Klossner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073212189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Durham Klossner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole Durham Klossner,
Po Box 330,
Magna, UT 84044-0330
Ph: (801) 990-4300 | Nicole Durham Klossner,
3509 W 4700 S,
Taylorsville, UT 84129-2846
Ph: (801) 990-4300 |
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