Individual
NICOLE MARIE OSTASZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16575 W WADDELL RD, SURPRISE, AZ 85388-9627
(623) 300-9110
Mailing address
10336 E TALAMEER AVE, MESA, AZ 85212-8142
(480) 313-8976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10638
AZ
Other
Enumeration date
08/16/2024
Last updated
08/31/2024
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