Individual
MS. NICOLE M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9200 N CENTRAL AVE STE 2, PHOENIX, AZ 85020-2463
(480) 999-4954
(480) 999-4712
Mailing address
9200 N CENTRAL AVE STE 2, PHOENIX, AZ 85020-2463
(480) 999-4954
(480) 999-4712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226470
AZ
363LF0000X
Family Nurse Practitioner
4704308961
MI
363LP2300X
Primary Care Nurse Practitioner
4704308961
MI
Other
Enumeration date
03/02/2018
Last updated
08/08/2023
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