Individual
REGGIE ALLEN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6891 N ORACLE RD STE 101, TUCSON, AZ 85704-4272
(623) 878-2100
(623) 776-9419
Mailing address
6677 W THUNDERBIRD RD STE I164, GLENDALE, AZ 85306-3762
(623) 878-2100
(623) 776-9419
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
7631
AZ
2084P0802X
Addiction Psychiatry Physician
7631
AZ
363A00000X
Physician Assistant
Primary
7631
AZ
363A00000X
Physician Assistant
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7631
AZ
Other
Enumeration date
09/19/2019
Last updated
07/02/2026
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