Provider Demographics
NPI:1679311484
Name:COX, NANCY DIANE
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:DIANE
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:DIANE
Other - Last Name:DAWES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:444 S MAIN ST STE A4
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3432
Mailing Address - Country:US
Mailing Address - Phone:435-691-8086
Mailing Address - Fax:
Practice Address - Street 1:444 S MAIN ST STE A4
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3432
Practice Address - Country:US
Practice Address - Phone:435-691-8086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool