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Individual

HEATHER NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9328 E RAINTREE DR, SCOTTSDALE, AZ 85260
(602) 266-8463
(602) 266-0122
Mailing address
9328 E RAINTREE DR, SCOTTSDALE, AZ 85260-2098
(602) 266-8463
(602) 266-0122

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1220
MN

Other

Enumeration date
11/05/2008
Last updated
06/12/2018
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