Individual provider · Type 1 NPI

Mark Roland Nickle, FNP

Family Nurse Practitioner · Roy, UT

NPI number 1134769342 Active

Practice location

5305 S 1900 W
Roy, UT 84067-2906

Call (801) 825-5648 Map

Mailing address

249 S 1050 E
Layton, UT 84041-4499

Other practice locations

  • 3702 S State St Ste 107, South Salt Lake, UT 84115-5096 · (801) 288-2634

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X6234684-4405 (UT)
Family Nurse Practitioner Primary 363LF0000X6234684-4405 (UT)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Other family nurse practitioner providers in Roy

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About NPI 1134769342

Mark Roland Nickle, FNP's National Provider Identifier is 1134769342, issued on Jan 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roy, UT. The record was last updated on May 27, 2021.