Individual
NICOLETTE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4527 N 16TH ST, PHOENIX, AZ 85016-5352
(602) 845-8000
Mailing address
4527 N 16TH ST, PHOENIX, AZ 85016-5352
(602) 845-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9674
AZ
Other
Enumeration date
12/19/2016
Last updated
05/04/2017
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