Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE ELIZABETH ZACK NWOBODO, PA-C
ActiveNICOLE ELIZABETH ZACK NWOBODO, PA-C is a Physician Assistant healthcare provider located in GLENDALE, Arizona. NPI 1619290822 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GLENDALE, AZ
Registration Details
- NPI Number
- 1619290822
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2010 (16.443167375259 yrs)
- Last Updated
- Oct 16, 2017
- Licenses
-
5740 (AZ)10711 (MN)
Practice Information
- Address
-
5605 W EUGIE AVESTE. 200GLENDALE, AZ, 853041272Browse AZ providers · Browse ZIP 85304
- Phone
- 6028432991
- Fax
- 6029781226
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| BRENDA L HOCHULI | PA | 1366435869 |
| MAURISA O KONYA | P.A. | 1356324834 |
| MRS. SAMADHY RUIZ | PA-C | 1023093754 |
| MARK JOSEPH MITCHELL | PA-C | 1083694061 |
| KIMBERLY ANN BRABENTZ | PA | 1437120300 |
| TIMOTHY F COYNE | PA-C | 1285607978 |
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.