Individual
PATRICIA LEE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
475 S DOBSON RD, CHANDLER, AZ 85224-5605
(480) 728-3000
Mailing address
2619 E REDWOOD LN, PHOENIX, AZ 85048-8229
(480) 861-1961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4601
AZ
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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