Individual
DANA RACHEL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
41930 N VENTURE DR, ANTHEM, AZ 85086-3857
(623) 551-0442
Mailing address
19438 N 7TH PL, PHOENIX, AZ 85024-1741
(602) 300-0507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
274158
AZ
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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