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Misty Nickoli, LPN
NPI 1790020204 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1717 West Cowels Street
Fairbanks, AK 99701 - Phone
- (907) 451-6682
- Fax
- (907) 459-3950
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-10
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 Alaska