MARK NICKLE, FNP
Nurse Practitioner - Family
Active
Individual
NPI: 1134769342
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | 6234684-4405 (UT) |
| Nurse Practitioner - Family | 363LF0000X | Yes | 6234684-4405 (UT) |
Frequently Asked Questions
NPI 1134769342 is the National Provider Identifier for MARK NICKLE, FNP, a Nurse Practitioner - Family provider located in Roy, UT. This NPI was enumerated on January 15, 2020.
MARK NICKLE, FNP practices at 5305 S 1900 W, Roy, UT 84067.
Quick Facts
- NPI
- 1134769342
- Type
- Individual
- Enumerated
- Jan 15, 2020
- Last Updated
- May 27, 2021
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