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Mark Roland Nickle, FNP
Family Nurse Practitioner in Roy, Utah
NPI 1134769342

Mark Roland Nickle is a Family Nurse Practitioner based in Layton, UT and is specialized in Family. Mark Roland Nickle practices in Roy, UT and has the professional credentials of FNP. The NPI Number for Mark Roland Nickle is 1134769342 and holds a License No. 6234684-4405 (Utah).

The current practice location address for Mark Roland Nickle is 5305 S 1900 W, Roy, UT and can be reached out via phone at 801-825-5648.

Location: 5305 S 1900 W, Roy, UT, 84041-4499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134769342
Provider Name
Mark Roland Nickle
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
5305 S 1900 W, Roy, UT, 84041-4499
Phone Number
801-825-5648
Fax Number
Provider Enumeration Date
01/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134769342 05 UT
institution
Provider Business Practice Location Address Details
Address
5305 S 1900 W
City
Roy
State
Utah
Zip
84067-2906
Phone Number
801-825-5648
Fax Number
person
Provider Business Mailing Address Details
Address
5305 S 1900 W
City
Roy
State
Utah
Zip
84067-2906
Phone Number
801-825-5648
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
6234684-4405 (Utah)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
6234684-4405 (Utah)
Definition
Definition to come...
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