Individual
NICOLE CATHERINE WEIDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9827 N 95TH ST STE 105, SCOTTSDALE, AZ 85258-4591
(480) 860-8488
(480) 860-8498
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
012355
AZ
208000000X
Pediatrics Physician
DO.2671
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
07/06/2020
Last updated
05/13/2026
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