Mark Roland Nickle, FNP

NPI #1134769342 in Roy, Utah

Provider Information

NPI Number
1134769342
Entity Type
Individual
Name
Mark Roland Nickle, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Jan 15, 2020
Last Updated
May 27, 2021

Practice Location

Address
5305 S 1900 W
City
Roy
State
Utah
ZIP Code
84067-2906
Phone
(801) 825-5648

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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