Individual
MS. NICOLE MARIE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C,PMHNP-BC
Contact information
Practice address
3271 E QUEEN CREEK RD STE 101, GILBERT, AZ 85297-8511
(480) 550-3193
Mailing address
4981 S SOHO LN, CHANDLER, AZ 85249-1820
(480) 335-8838
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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