Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE MAKOLLE, RN
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · AVONDALE, AZ
Registration Details
- NPI Number
- 1528754116
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2023 (3.0459738728809 yrs)
- Last Updated
- Apr 17, 2023
- Licenses
-
227772 (AZ)227772 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12504 W ADAMS STAVONDALE, AZ, 853238013Browse AZ providers · Browse ZIP 85323
- Phone
- 6023669406
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.