| NPI | 1114416989 |
|---|---|
| Former Name | NICHOLE BRIANNA WARDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP222546) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN154823) |
| 208M00000X Hospitalist (Licence: AZ AP222546) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-01-05 |