Individual
NICOLE MARIE KURNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1920 E CAMBRIDGE AVE STE 201, PHOENIX, AZ 85006-1462
(602) 933-0500
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
50461
AZ
208200000X
Plastic Surgery Physician
MD60927138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225326127
—
WA
Enumeration date
07/13/2011
Last updated
12/09/2020
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