Individual
NICOLE E NEDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4700 S SYRACUSE ST STE 900, DENVER, CO 80237-2741
(888) 293-2939
Mailing address
12330 W LEWIS AVE, AVONDALE, AZ 85392-5523
(602) 334-6588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005318
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R1019
AZ
Other
Enumeration date
06/24/2008
Last updated
06/23/2023
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