Search › Arizona › 372600000X
Nicole Johnson
NPI 1457096885 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4225 E University Dr Apt 128
Mesa, AZ 85205 - Phone
- (719) 321-5099
- Organisation at this address
- Fervent Care Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 372600000X
372600000X
- Also registered as
- 372600000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-05
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