Individual
NICOLE IRENE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHT
Contact information
Practice address
2806 W CACTUS RD, PHOENIX, AZ 85029-3364
(602) 536-8003
(480) 281-5218
Mailing address
2806 W CACTUS RD, PHOENIX, AZ 85029-3364
(602) 536-8003
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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