Individual
NICOLE MARIE DEPORZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5980 S COOPER RD STE 3, CHANDLER, AZ 85249-5394
(480) 597-6448
(482) 522-3151
Mailing address
5980 S COOPER RD STE 3, CHANDLER, AZ 85249-5394
(480) 597-6448
(480) 522-3151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11116
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469732
—
AZ
Enumeration date
01/10/2018
Last updated
06/16/2020
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