Individual provider · Type 1 NPI
Lea Nickolas, FNP-BC
Primary Care Nurse Practitioner · Phoenix, AZ
NPI number
1306471644
Active
Practice location
2601 N 3rd St Ste 212
Phoenix, AZ 85004-1145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 183839-30 (WI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 256708 (AZ) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1306471644
Lea Nickolas, FNP-BC's National Provider Identifier is 1306471644, issued on Mar 6, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 30, 2026.