Individual
ASHLEY TAYLOR NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-7505
Mailing address
3676 S PLOWMAN DR, YUMA, AZ 85365-6726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7795
AZ
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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