Individual
DR. NICOLE MANCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
143 E GERMANN RD # B101, GILBERT, AZ 85297-0607
(480) 304-0249
Mailing address
426 E SOUTHERN AVE STE 101, TEMPE, AZ 85282-5215
(480) 281-7979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
278085
AZ
Other
Enumeration date
07/20/2022
Last updated
08/27/2024
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