National Provider Identifier Database

MISTY M NICKOLI, LPN – NPI #1790020204
Licensed Practical Nurse

An individual 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.


Contact Information

MISTY M NICKOLI, LPN
1717 WEST COWELS STREET
FAIRBANKS, AK99701
Phone: 907-451-6682
Fax: 907-459-3950
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X

* Indicates primary specialty

NPI Profile & details for MISTY M NICKOLI

NPI Number 1790020204
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 12/10/2012
Last updated 12/10/2012 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • AK License #: 6776
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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