Individual
NICOLE ELIZABETH DERMINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12730 N 86TH LN, PEORIA, AZ 85381-8141
(267) 372-1334
Mailing address
12730 N 86TH LN, PEORIA, AZ 85381-8141
(267) 372-1334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
261894
AZ
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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