Individual provider · Type 1 NPI

Nicole Bacha

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

NPI number 1467203992 Active

Practice location

1300 N 12th St Ste 508
Phoenix, AZ 85006-2849

Call (602) 839-3927 Map

Mailing address

1111 E Mcdowell Rd
Phoenix, AZ 85006-2612

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XR82369 (AZ)

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 1467203992

Nicole Bacha's National Provider Identifier is 1467203992, issued on Apr 1, 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 May 12, 2026.