Individual
NICOLE JANE CASCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18555 N 79TH AVE STE B108, GLENDALE, AZ 85308-8372
(623) 773-2848
Mailing address
18555 N 79TH AVE STE B108, GLENDALE, AZ 85308-8372
(623) 773-2848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7493
AZ
Other
Enumeration date
08/13/2019
Last updated
02/10/2020
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