Individual
NICOLE M HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
345 E VIRGINIA AVE, PHOENIX, AZ 85004-1202
(602) 254-3151
(602) 256-9581
Mailing address
345 E VIRGINIA AVE, PHOENIX, AZ 85004-1202
(602) 254-3151
(602) 256-9581
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP2589
AZ
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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