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Individual

MS. CONNIE NIKOLAIDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3501 S 6TH AVE, TUCSON, AZ 85723-3533
(520) 792-1450
Mailing address
6565 E CARONDELET DR, #235, TUCSON, AZ 85710-3533
(520) 296-5500
(520) 296-5800

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN081679
AZ
363LF0000X
Family Nurse Practitioner
RN081679
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
741852
AZ
Enumeration date
11/07/2005
Last updated
12/20/2022
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