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Individual
MS. NICOLE MARIE LYONS
Active
Individual
MS. NICOLE MARIE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C,PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP5672
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP5672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
929811
—
AZ
Enumeration date
07/02/2014
Last updated
10/02/2024
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