Amanda Nickels, PA is a
Student In An Organized Health Care Education/training Program based in Midvale, Utah. Amanda Nickels is licensed to practice in * (Not Available) (license number ) and her current practice location is
7864 S Summer Station Way, Midvale, Utah. She can be reached at her office (for appointments etc.) via phone at
(907) 687-1015.
NPI number for Amanda Nickels is 1588449318 and her current mailing address is 7864 S Summer Station Way, Midvale, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588449318.
Provider's Profile
Full Name | Amanda Nickels |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 7864 S Summer Station Way, Midvale, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588449318
- Provider Enumeration Date: 08/29/2023
- Last Update Date: 08/29/2023
Medical Identifiers
Medical identifiers for Amanda Nickels such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588449318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Nickels is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Nickels, PA 7864 S Summer Station Way, Midvale, UT 84047-5723 Ph: (907) 687-1015 | Amanda Nickels, PA 7864 S Summer Station Way, Midvale, UT 84047-5723 Ph: (907) 687-1015 |
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