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Individual

MR. NICHOLAS JAY FAZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
6119 MIDTOWN AVE STE 202, LITTLE ROCK, AR 72205
(501) 664-4532
(501) 663-4335
Mailing address
6119 MIDTOWN AVE STE 201, LITTLE ROCK, AR 72205-5316
(501) 664-4532
(501) 663-4335

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A003071
AR
363LA2100X
Acute Care Nurse Practitioner
AP05311
LA

Other

Enumeration date
12/20/2007
Last updated
12/13/2018
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