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Mark Nickle, FNP
NPI 1134769342 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5305 S 1900 W
Roy, UT 84067 - Phone
- (801) 825-5648
- Organisation at this address
- Utah Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 3702 S State St Ste 107, South Salt Lake, UT
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Also registered as
- Nurse Practitioner
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah