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

Nicole L Rawle, APRN

Individual provider Nurse Practitioner · NPI 1669777314

Nicole L Rawle, APRN is a Nurse Practitioner in Provo, Utah. Qualified in 2010, 16 years ago. Practices with Sage Dermatology and Mohs Surgery LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2011
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1055 N 500 W Ste 111
Provo, UT 84604-3305
Phone: (801) 374-8999
Fax: (801) 429-8063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 220 N 1200 E Ste 203, Lehi, UT 84043-5864 — (801) 418-0920

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 294885-4408 (UT)

Record details

NPI number1669777314
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 11, 2011
Last updated in NPPESNovember 27, 2023
Certification dateMarch 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Sage Dermatology And Mohs Surgery Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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