Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Lily Thaxton

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659962009

Nicole Lily Thaxton is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659962009
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

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