Individual
PAULA RAE PICCOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15317 W BELL RD STE 100, SURPRISE, AZ 85374-3900
(877) 809-5092
(623) 815-9253
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 583-3007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
284869
AZ
Other
Enumeration date
12/26/2022
Last updated
03/27/2023
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