Individual
NICOLE ELIZABETH KLUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
14823 W BELL RD STE 208, SURPRISE, AZ 85374-7613
(623) 225-7030
Mailing address
21751 N 86TH LN, PEORIA, AZ 85382-2497
(928) 592-2994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN211157
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
271552
AZ
Other
Enumeration date
11/01/2020
Last updated
09/15/2022
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