Katie Nicholls, PA-C Valid NPI

Individual provider · Physician Assistant · South Salt Lake, UT

NPI

1851866735

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

10970425-1206 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2018-10-08

Last updated

2026-03-16