Individual
NICOLE CLARA GOURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(520) 815-0381
Mailing address
8108 S KACHINA DR, TEMPE, AZ 85284-1742
(520) 815-0381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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