# JOSHUA NICKELS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073257986
- **Gender:** Man
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 8053541-3102 | UT | — |
| 363LN0000X | Neonatal Nurse Practitioner | 8053541-4405 | UT | Yes |

## Other

- **Enumeration date:** 04/26/2022
- **Last updated:** 10/25/2022