Individual provider · Type 1 NPI

Austin Lee Nickell, MD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1285480236 Active

Practice location

400 N 32nd St
Phoenix, AZ 85008-6205

Call (602) 839-3927 Map

Mailing address

100 W Indian School Rd Unit 2076
Phoenix, AZ 85013-0027

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285480236

Austin Lee Nickell, MD's National Provider Identifier is 1285480236, issued on Apr 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 29, 2024.