Individual
MS. NICOLE ALEXANDRA TRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1485 S COUNTY TRL UNIT 107, EAST GREENWICH, RI 02818-1771
(401) 785-0040
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP3625
AZ
363LA2200X
Adult Health Nurse Practitioner
AP3625
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN02648
RI
363LW0102X
Women's Health Nurse Practitioner
AP3626
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336452077
—
RI
01
—
U400770761
MEDICARE
RI
Enumeration date
07/23/2010
Last updated
08/29/2024
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