Individual
NICOLE HALBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
12621 N TATUM BLVD # 118, PHOENIX, AZ 85032-7710
(214) 227-2457
(214) 764-0880
Mailing address
12621 N TATUM BLVD # 118, PHOENIX, AZ 85032-7710
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
321467
AZ
Other
Enumeration date
12/28/2022
Last updated
09/08/2025
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