Individual provider · Type 1 NPI

Nicole Clara Gourley

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

NPI number 1447106497 Active

Practice location

500 N US Highway 89
Prescott, AZ 86313-5001

Mailing address

8108 S Kachina Dr
Tempe, AZ 85284-1742

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 1447106497

Nicole Clara Gourley's National Provider Identifier is 1447106497, issued on Mar 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Prescott, AZ. The record was last updated on Mar 10, 2026.