Individual
DR. NICHOLE TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-4660
(602) 933-8945
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
47520
AZ
207LP3000X
Pediatric Anesthesiology Physician
Primary
47520
AZ
207R00000X
Internal Medicine Physician
R73384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284088
—
AZ
Enumeration date
06/04/2012
Last updated
01/12/2023
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