Individual
NICOLE STRUTZENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7227 E BASELINE RD, MESA, AZ 85209-5005
(602) 345-1192
Mailing address
11052 E SERAFINA AVE, MESA, AZ 85212-5193
(480) 440-1131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3017056
KY
363LF0000X
Family Nurse Practitioner
Primary
AP4666
AZ
Other
Enumeration date
10/02/2012
Last updated
10/15/2024
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