MISTY MORNA NICKOLI LPN - NPI 1790020204 - Licensed Practical Nurse in Fairbanks, AK

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Misty Morna Nickoli Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISTY MORNA NICKOLI LPN (NPI 1790020204) is an individual licensed practical nurse in Fairbanks, Alaska, licensed in Alaska (6776) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1790020204

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMISTY MORNA NICKOLICredential: LPN

Location Address1717 WEST COWELS STREETFairbanks, AK 99701

Mailing Address1717 West Cowels StreetFairbanks, AK 99701 · (907) 451-6682 · Fax (907) 459-3950

Phone(907) 451-6682

Fax(907) 459-3950

Sole ProprietorYes

Enumeration DateDecember 10, 2012

✔ NPI 1790020204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AK · 6776

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1717 WEST COWELS STREET, Fairbanks, AK 99701

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Other Names 1

Former Name (1)Misty Morna Gil-martinez Lpn

Frequently Asked Questions

What is Misty Nickoli's NPI number?

The NPI number assigned to this healthcare provider is 1790020204, enumerated as an "individual" on December 10, 2012.

Where is the provider located?

The provider is located at 1717 WEST COWELS STREET FAIRBANKS, AK 99701 and the phone number is (907) 451-6682.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.