Individual
NICOLE AZAAN
Active
Individual
NICOLE AZAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFMP, ACNSRSAPP
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
AP-ETMD-2026-FA9CCS
NC
103TH0100X
Health Service Psychologist
VA-CBCP-2022-NA
NC
174400000X
Specialist
—
—
1744G0900X
Graphics Designer
—
—
202D00000X
Integrative Medicine Physician
AP-FMCC-2026-D21Z3N
NC
202D00000X
Integrative Medicine Physician
AP-FMMD-2026-IC3W4T
NC
2084N0600X
Clinical Neurophysiology Physician
AP-CNSR-2026-6T863R
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19009728
NATIONAL PROVIDER NUMBER
NC
Enumeration date
12/10/2018
Last updated
06/22/2026
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