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Mrs. Nicole Warner Shaha, PA-C
Surgical Physician Assistant in Mesa, Arizona
NPI 1477078764

Nicole Warner Shaha is a Surgical Physician Assistant based in Mesa, AZ and is specialized in Surgical. Nicole Warner Shaha practices in Mesa, AZ and has the professional credentials of PA-C. The NPI Number for Nicole Warner Shaha is 1477078764 and holds a License No. 6826 (Arizona).

The current practice location address for Nicole Warner Shaha is 2545 E Intrepid Ave, Mesa, AZ and can be reached out via phone at 208-716-2350.

Location: 2545 E Intrepid Ave, Mesa, AZ, 85204-7028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477078764
Provider Name
Nicole Warner Shaha
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2545 E Intrepid Ave, Mesa, AZ, 85204-7028
Phone Number
208-716-2350
Fax Number
Provider Enumeration Date
08/07/2017
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477078764 05 AZ
institution
Provider Business Practice Location Address Details
Address
2545 E Intrepid Ave
City
Mesa
State
Arizona
Zip
85204-7028
Phone Number
208-716-2350
Fax Number
person
Provider Business Mailing Address Details
Address
2545 E Intrepid Ave
City
Mesa
State
Arizona
Zip
85204-7028
Phone Number
208-716-2350
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
6826 (Arizona)
Definition
Definition to come...
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