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Search › Arizona › 363A00000X

Nicole Nwobodo, PA-C

NPI 1619290822 · on the registry since 2010

Practice

Address
5605 W Eugie Ave
Ste. 200
Glendale, AZ 85304
Phone
(602) 843-2991
Fax
(602) 978-1226
Organisation at this address
Taz Glendale, Llc
Bhsm Rehabilitation, Llc
Bhsm Rehabilitation, Llc
Bhsm Rehabilitation, Llc
Sonora Quest Laboratories, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
78

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
AZ, MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona