ALEXA VICTORIA NICKEL

SALT LAKE CITY, UT
NPI1811488976
Former NameALEXA VICTORIA NICKEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  9127639-4405)
Additional Taxonomies163W00000X Registered Nurse
(Licence: UT  9127639-3102)
Enumeration Date2018-05-24
Last Update Date2024-01-31
Business Address
ALEXA VICTORIA NICKEL APRN
1200 E 3900 S UNIT G175
SALT LAKE CITY, UT 84124-1300
Phone number: 801-268-7405
Mailing Address
ALEXA VICTORIA NICKEL APRN
PO BOX 100253
ATLANTA, GA 30384-0253
Phone number: