Individual provider · Type 1 NPI
Nicole Angelina Hennigan, FNP-C
Family Nurse Practitioner · Anthem, AZ
NPI number
1124502273
Active
Practice location
42302 N Vision Way Ste 114
Anthem, AZ 85086-1468
Other practice locations
- 11209 N Tatum Blvd Ste 140, Phoenix, AZ 85028-3024 · (602) 730-4535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN161920 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | 220086 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124502273
Nicole Angelina Hennigan, FNP-C's National Provider Identifier is 1124502273, issued on Sep 24, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Anthem, AZ. The record was last updated on Jul 15, 2025.