NPI 1003123449
Kristine B Nichols
Practice location
- Address
- 20402 N 15th Ave, Phoenix, AZ 85027-3636
- Phone
- (623) 445-4952
- Fax
- (623) 445-5079
Registered specialties
Speech-Language Assistant
Primary
Registry record
- NPI
- 1003123449
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Sep 2010
- Record last updated
- 7 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.