Individual
MRS. NICOLE MORDHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
3450 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1351
(928) 499-3152
(928) 775-6292
Mailing address
3450 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1351
(928) 499-3152
(928) 775-6292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002832
AZ
156FX1800X
Optician
Primary
001177
AZ
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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