Individual
MRS. MEGAN NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15525 N 83RD AVE STE 104, PEORIA, AZ 85382-5820
(480) 964-2273
Mailing address
15525 N 83RD AVE STE 104, PEORIA, AZ 85382-5820
(480) 964-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8491
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105195
—
AZ
Enumeration date
01/08/2015
Last updated
07/15/2025
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