Nichole Hazuka, PA-C

NPI 1801288311 · on the registry since 2015

Practice

Address: 8405 E Baseline Rd Ste 104
Mesa, AZ 85209
Phone: (480) 674-3295
Fax: (725) 239-7974
Organisation at this address: Ankur M Bant Pllc
Dl Professional Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-14

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