Provider Demographics
NPI:1770478315
Name:NYKAMP, DANALI RUTH (FNP)
Entity type:Individual
Prefix:
First Name:DANALI
Middle Name:RUTH
Last Name:NYKAMP
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DANALI
Other - Middle Name:RUTH
Other - Last Name:DAMRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1765 E LINCOLN LN APT 6
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-3578
Mailing Address - Country:US
Mailing Address - Phone:801-828-6663
Mailing Address - Fax:
Practice Address - Street 1:1765 E LINCOLN LN APT 6
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84124-3578
Practice Address - Country:US
Practice Address - Phone:801-828-6663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11772540-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily