Individual
MS. DEBRA LEE NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7700 E FLORENTINE RD STE 206, PRESCOTT VALLEY, AZ 86314-2245
(928) 442-8117
(928) 772-8947
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
265112
AZ
363LA2100X
Acute Care Nurse Practitioner
AP61337993
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206471
—
AZ
Enumeration date
02/02/2021
Last updated
02/17/2025
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