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NICHOLE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5750 W THUNDERBIRD RD STE C300, GLENDALE, AZ 85306-4666
(623) 238-7490
Mailing address
13504 N 154TH LN, SURPRISE, AZ 85379-9160
(623) 262-7721

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN161542
AZ
363L00000X
Nurse Practitioner
235410
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
235410
AZ

Other

Enumeration date
10/22/2019
Last updated
11/24/2023
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