Individual
MS. NICOLE PAVLIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2595 N WYATT DR, TUCSON, AZ 85712-6104
(520) 795-9912
(520) 795-9934
Mailing address
2595 N WYATT, TUCSON, AZ 85712
(520) 795-9912
(520) 795-9934
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN154574
AZ
176B00000X
Midwife
RN176972
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390332
—
AZ
05
—
536923623A
—
GA
Enumeration date
11/21/2006
Last updated
01/12/2009
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