Nicole Lee Thorsen, CNM is a
Advanced Practice Midwife based in Park City, Utah. Nicole Lee Thorsen is licensed to practice in Utah (license number 7484374-4402) and her current practice location is
900 Round Valley Dr, Park City, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 658-7264.
NPI number for Nicole Lee Thorsen is 1992253199 and her current mailing address is 751 E Valley Dr, Heber City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992253199.
Provider's Profile
Full Name | Nicole Lee Thorsen |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 900 Round Valley Dr, Park City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992253199
- Provider Enumeration Date: 09/15/2016
- Last Update Date: 09/15/2016
Medical Identifiers
Medical identifiers for Nicole Lee Thorsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992253199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 7484374-4402 (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 Lee Thorsen 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 Lee Thorsen, CNM 751 E Valley Dr, Heber City, UT 84032-1059 Ph: (435) 565-0659 | Nicole Lee Thorsen, CNM 900 Round Valley Dr, Park City, UT 84060-7552 Ph: (435) 658-7264 |
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