Provider Demographics
NPI:1245842962
Name:O'PRAY-NICHOLS, EVE (RN, BSN, CDCES)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:
Last Name:O'PRAY-NICHOLS
Suffix:
Gender:F
Credentials:RN, BSN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:FORT DUCHESNE
Mailing Address - State:UT
Mailing Address - Zip Code:84026-0160
Mailing Address - Country:US
Mailing Address - Phone:435-722-5122
Mailing Address - Fax:435-725-6845
Practice Address - Street 1:6932 E 1400 S
Practice Address - Street 2:
Practice Address - City:FT. DUCHESNE
Practice Address - State:UT
Practice Address - Zip Code:84026
Practice Address - Country:US
Practice Address - Phone:435-722-5122
Practice Address - Fax:435-725-6845
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9047345-3102163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator