Individual
CASTILLANNA NICOLE LOYA JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5310 W THUNDERBIRD RD STE 301, GLENDALE, AZ 85306-4710
(602) 865-4441
Mailing address
5310 W THUNDERBIRD RD STE 301, GLENDALE, AZ 85306-4710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6923
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1146939
NCCPA
AZ
01
—
6923
PA STATE OF AZ
AZ
Enumeration date
11/28/2017
Last updated
04/14/2021
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