Cortez, Nicole Renee
Cortez, Nicole Renee is an sole proprietor health care provider with primary practice located at 2181 E Mcdowell Rd , Phoenix AZ 85006-2430. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Cortez, Nicole Renee can be contacted via phone (623) 381-4670.Contact Information
Primary practice address
2181 E Mcdowell Rd
Phoenix AZ 85006-2430
Phone: (623) 381-4670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1043347586 |
|---|---|
| LBN Legal business name | Cortez, Nicole Renee |
| Credentials | ED.S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 26th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043347586 | NPPES |
| Arizona | MEDICAID | 174396 |
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