Mott, Nicole Renee

Mott, Nicole Renee is an individual health care provider with primary practice located at 455 E 4Th Pl , Mesa AZ 85203-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mott, Nicole Renee can be contacted via phone (480) 964-0080.

Contact Information

Primary practice address
455 E 4Th Pl Mesa AZ 85203-7101
Phone: (480) 964-0080
Fax: (480) 644-0931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN196883 Arizona

Profile Details

NPI number 1568823821
LBN Legal business name Mott, Nicole Renee
Credentials AGPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2016
Last updated Mar 15th, 2016 - about 8 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.

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