Individual
NICOLE ASHLEY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(786) 205-4400
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(786) 205-4400
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
TBD
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
03/23/2026
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