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Individual

SHANIEKA NASHAE HODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
839 S 165TH DR, GOODYEAR, AZ 85338-4590
(623) 326-7607
Mailing address
839 S 165TH DR, GOODYEAR, AZ 85338-4590
(623) 326-7607

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
268652
AZ

Other

Enumeration date
11/08/2025
Last updated
11/08/2025
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