Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Nickels, PA

Individual provider Physician Assistant · NPI 1588449318

Amanda Nickels, PA is a Physician Assistant in Midvale, Utah. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7864 S Summer Station Way
Midvale, UT 84047-5723
Phone: (907) 687-1015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1588449318
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

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