Individual
LAURA ELIZABETH CHICCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5102 W OLIVE AVE STE 101, GLENDALE, AZ 85302-4201
(480) 677-8282
(888) 316-1686
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(888) 316-1686
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
291427
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204643
—
AZ
Enumeration date
12/08/2023
Last updated
01/28/2026
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