Individual
NICOLE AVERAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-5580
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-5580
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
153838
AZ
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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