Search › Arizona › 363AS0400X
Nicole Shaha, PA-C
NPI 1477078764 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2545 E Intrepid Ave
Mesa, AZ 85204 - Phone
- (208) 716-2350
- Organisation at this address
- Nwse: Nicole Warner Shaha Enterprises, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-17
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