Individual provider · Type 1 NPI

Nikayla Dibble, NP

Nurse Practitioner · Tooele, UT

NPI number 1619861150 Active

Practice location

2356 N 400 E Ste 202
Tooele, UT 84074-3409

Mailing address

5661 N Brambling Way
Stansbury Park, UT 84074-4939

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11347758-4405 (UT)

Nurse Practitioner: (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 wit…

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About NPI 1619861150

Nikayla Dibble, NP's National Provider Identifier is 1619861150, issued on Jun 9, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tooele, UT. The record was last updated on Jun 19, 2025.