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Misty Morna Nickoli, LPN
Licensed Practical Nurse in Fairbanks, Alaska
NPI 1790020204

Misty Morna Nickoli is a Licensed Practical Nurse based in Fairbanks, AK. Misty Morna Nickoli practices in Fairbanks, AK and has the professional credentials of LPN. The NPI Number for Misty Morna Nickoli is 1790020204 and holds a License No. 6776 (Alaska).

The current practice location address for Misty Morna Nickoli is 1717 West Cowels Street, Fairbanks, AK and can be reached out via phone at 907-451-6682 and via fax at 907-459-3950. You can also correspond with Misty Morna Nickoli through the mailing address at 1717 WEST COWELS STREET, FAIRBANKS, AK - 99701 (mailing address contact number: 907-451-6682).

Location: 1717 West Cowels Street, Fairbanks, AK, 99701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790020204
Provider Name
Misty Morna Nickoli
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1717 West Cowels Street, Fairbanks, AK, 99701
Phone Number
907-451-6682
Fax Number
907-459-3950
Provider Enumeration Date
12/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 West Cowels Street
City
Fairbanks
State
Alaska
Zip
99701
Phone Number
907-451-6682
Fax Number
907-459-3950
person
Provider Business Mailing Address Details
Address
1717 West Cowels Street
City
Fairbanks
State
Alaska
Zip
99701
Phone Number
907-451-6682
Fax Number
907-459-3950
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
6776 (Alaska)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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