| Doctor Name: | NICOLE STAPLEY |
| NPI Number: | 1063898377 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP |
| License Number: | 7627343-4405 |
| Business Practice Address: | 380 N 400 W Kaysville, UT - 840373135 |
| Business Phone Number: | 8017734840 |
| Business Fax Number: | 8015258151 |
| Mailing Address: | Po Box 337, LAYTON |
| State: | UT |
| Postal Code: | 840410337 |
| Phone Number: | 8017734840 |
| Fax Number: | 8015258151 |
| NPI Enumeration Date: | 08/10/2015 |
| NPI Last Update Date: | 08/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 7627343-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |