Mark Roland Nickle, FNP is a family nurse practitioner in Roy, UT with 5 years of experience. Mark Roland Nickle, FNP NPI is 1134769342. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5305 S 1900 W
ROY, UT
ZIP 84067-906
Phone: (801) 825-5648
The NPI 1134769342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/15/2020 and was last updated on 5/27/2021.