NPI 1043522766

Nicole R Ausdemore, AZCCEAZCDCDDONA

Practitioner Doula Mesa, AZ

Practice location

Address: 1640 W Monte Ave, Mesa, AZ 85202-7427
Phone: (480) 671-4534

Registered specialties

Doula Primary

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1043522766
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2010
Record last updated: 10 Jul 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.