Individual
NICOLE ELIZABETH HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20770 W MARKET ST STE 101, BUCKEYE, AZ 85396-8042
(032) 162-3873
Mailing address
16569 W CHARLOTTE DR, SURPRISE, AZ 85387-2190
(623) 698-2174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN200834
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
321912
AZ
Other
Enumeration date
08/30/2021
Last updated
03/31/2025
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