Individual
NICOLE VIENNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4508 N SABINO MOUNTAIN DR, TUCSON, AZ 85750-6924
(817) 412-1872
Mailing address
4508 N SABINO MOUNTAIN DR, TUCSON, AZ 85750-6924
(817) 412-1872
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN134145
AZ
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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