Individual
DR. ALISSA LAUREN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1920 E CAMBRIDGE AVE STE 201, PHOENIX, AZ 85006-1462
(602) 933-3277
(602) 933-4326
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147-001637
IL
231H00000X
Audiologist
Primary
DA10810
AZ
Other
Enumeration date
08/14/2017
Last updated
04/26/2018
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