Individual provider · Type 1 NPI

Joshua Nickels, RN

Neonatal Nurse Practitioner · Salt Lake City, UT

NPI number 1073257986 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Fax (801) 662-4285

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X8053541-3102 (UT)
Neonatal Nurse Practitioner Primary 363LN0000X8053541-4405 (UT)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1073257986

Joshua Nickels, RN's National Provider Identifier is 1073257986, issued on Apr 26, 2022. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 25, 2022.