Individual
NICOLE ANGELINA HENNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
42302 N VISION WAY STE 114, ANTHEM, AZ 85086-1468
(623) 570-2162
Mailing address
42302 N VISION WAY STE 114, ANTHEM, AZ 85086-1468
(623) 570-2162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN161920
AZ
363LF0000X
Family Nurse Practitioner
Primary
220086
AZ
Other
Enumeration date
09/24/2018
Last updated
07/15/2025
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