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Individual

ASHLEY NICHOLE BROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
13733 N PRASADA PKWY STE 100, SURPRISE, AZ 85388-8014
(623) 444-7100
Mailing address
10028 W GROSS AVE, TOLLESON, AZ 85353-1202
(623) 261-8966

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022012410
AZ

Other

Enumeration date
06/30/2022
Last updated
01/24/2023
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