Individual
NICOLE LYNN FERSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1138 N ALMA SCHOOL RD, STE 120, MESA, AZ 85201-3002
(623) 293-0343
Mailing address
1138 N ALMA SCHOOL RD STE 120, MESA, AZ 85201-3003
(888) 306-5315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3684
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
535401
—
AZ
Enumeration date
10/09/2007
Last updated
01/17/2019
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