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

Q: What is Misty Nickoli's NPI number?

The NPI number for Misty Nickoli is 1790020204. It was assigned to this individual provider in the NPPES registry on December 10, 2012. The provider is also known as Misty Morna Gil-Martinez Lpn.

Q: What is Misty Nickoli's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Misty Nickoli was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 10, 2012

1717 WEST COWELS STREET, FAIRBANKS, AK 99701(907) 451-6682(907) 459-3950 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

Open in Google Maps ↗

Other Names 1

Former Name (1)Misty Morna Gil-martinez Lpn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misty Nickoli's NPI number?

The NPI number for Misty Nickoli is 1790020204. It was assigned to this individual provider in the NPPES registry on December 10, 2012. The provider is also known as Misty Morna Gil-Martinez Lpn.

Where is Misty Nickoli located?

Misty Nickoli practices at 1717 West Cowels Street, Fairbanks, AK 99701. The listed phone number is (907) 451-6682.

What is Misty Nickoli's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Misty Nickoli was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.