Individual
MRS. NICOLE FALDMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1688 E BOSTON ST STE 101, GILBERT, AZ 85295-6222
(480) 855-0085
(480) 855-0086
Mailing address
1688 E BOSTON ST STE 101, GILBERT, AZ 85295-6222
(480) 855-0085
(480) 855-0086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013656
NY
363A00000X
Physician Assistant
Primary
6548
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z253585
UPIN
AZ
Enumeration date
10/20/2009
Last updated
02/25/2022
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