Individual
NICOLE REIS MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6230 W UNION HILLS DR, SUITE 100, GLENDALE, AZ 85308
(623) 376-7600
(623) 376-0229
Mailing address
14239 W BELL RD, SUITE 101, SURPRISE, AZ 85374-2469
(623) 544-7755
(623) 544-8665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3638
AZ
363A00000X
Physician Assistant
PA9103458
FL
Other
Enumeration date
07/01/2006
Last updated
05/16/2013
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