Individual provider · Type 1 NPI

Michael Tysen Nickle, DO

Family Medicine Physician · Pueblo, CO

NPI number 1417525601 Active

Practice location

902 Lakeview Ave
Pueblo, CO 81004-3597

Call (719) 557-5872 Map

Fax (719) 557-4780

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XTL.0009001 (CO)
Family Medicine Physician Primary 207Q00000XTL.0009001 (CO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1417525601

Michael Tysen Nickle, DO's National Provider Identifier is 1417525601, issued on Jun 14, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pueblo, CO. The record was last updated on Jun 29, 2021.