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NPI Code Detail

MEDICARE: SKYLER DUNN NICHOLAS FNP-BC

MEDICARE: SKYLER DUNN NICHOLAS FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner10357985-4405UT
2363L00000XNurse Practitioner10357985-4405UT

General Provider Information

NPI Number : 1225861693
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYLER DUNN NICHOLAS FNP-BC
Provider Business Mailing Address
First Line : PO BOX 5546
Second Line :
City : DENVER
State : CO
Zip : 80217-5546
Country : US
Telephone Number : 801-475-3500
Fax Number : 801-475-3489
Provider Business Practice Location Address
First Line : 5290 S 400 E
Second Line :
City : OGDEN
State : UT
Zip : 84405-7194
Country : US
Telephone Number : 801-476-1777
Fax Number : 801-479-1479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2024
Last Update Date : 05/07/2025

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