Individual
NICHOLE BRIANNA WARDLE-SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5868 E KATHLEEN RD, SCOTTSDALE, AZ 85254-1861
(623) 256-7408
Mailing address
5868 E KATHLEEN RD, SCOTTSDALE, AZ 85254-1861
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN154823
AZ
208M00000X
Hospitalist Physician
AP222546
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP222546
AZ
Other
Enumeration date
05/07/2018
Last updated
01/05/2024
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