Individual
NICOLE MICHLER VIRNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, MS
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
316578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2168217
—
WA
01
—
RN2328911
REGISTERED NURSE
MA
Enumeration date
09/14/2020
Last updated
03/06/2025
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