Individual
NICOLE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11851 N 51ST AVE STE B110, GLENDALE, AZ 85304-2823
(480) 882-4545
(623) 773-2267
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10902
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363488
—
AZ
Enumeration date
02/16/2018
Last updated
02/16/2023
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