Individual
NICOLE JOANNE NORDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3130 E BASELINE RD, STE 105, MESA, AZ 85204
(800) 819-8566
Mailing address
4760 S ROBINS WAY, CHANDLER, AZ 85249
(480) 664-4906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2571
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
865042
—
AZ
Enumeration date
06/28/2006
Last updated
07/08/2007
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