Individual
NICHOLAS JAMES FAILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
3420 S MERCY RD STE 312, GILBERT, AZ 85297-0425
(480) 728-6400
(480) 728-6440
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP11138
AZ
363LA2200X
Adult Health Nurse Practitioner
AP11138
AZ
363LG0600X
Gerontology Nurse Practitioner
AP11138
AZ
Other
Enumeration date
03/29/2018
Last updated
01/06/2026
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