Mark Roland Nickle is a Roy, Utah based nurse practitioner with 6 years of experience in . He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark Roland Nickle is 6234684-4405 for Family in Utah. His current practice location is 5305 S 1900 W, Roy. Patients can reach him at 801-825-5648. Mark Roland Nickle is FNP and his NPI number (Unique professional ID assigned by NPPES) is 1134769342. Mark Roland Nickle has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mark Roland Nickle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5092136234
Enrollment ID:
I20200526003054
NPI Number:
1134769342
NPI Enumeration Date:
15 Jan, 2020
NPI Last Update On:
27 May, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Roland Nickle are as mentioned below.
License Number
Specialization
State
Status
6234684-4405
Family
Utah
Primary
6234684-4405
Nurse Practitioner
Utah
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mark Roland Nickle is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Minuteclinic Diagnostic Of Utah, Llc (1759799745)
16
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Roland Nickle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1134769342
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark Roland Nickle 249 S 1050 E, Layton, Utah
Zip:
84041-4499
Phone Number:
801-663-3126
Patients can reach Mark Roland Nickle at 5305 S 1900 W, Roy, Utah or can call to book an appointment on 801-825-5648.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.