Individual provider · Type 1 NPI

Nicole C. Fallacaro, PA

Physician Assistant · Gilbert, AZ

NPI number 1174582290 Active

Practice location

2730 S Val Vista Dr
Gilbert, AZ 85295-1675

Mailing address

7095 S Fawn Ave
Gilbert, AZ 85298-9274

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X010718 (NY)
Physician Assistant Primary 363A00000X4453 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174582290

Nicole C. Fallacaro, PA's National Provider Identifier is 1174582290, issued on Mar 18, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gilbert, AZ. The record was last updated on Dec 28, 2011.