Individual provider · Type 1 NPI
Nicole Warner Shaha, PA-C
Surgical Physician Assistant · Mesa, AZ
NPI number
1477078764
Active
Practice location
2545 E Intrepid Ave
Mesa, AZ 85204-7028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 6826 (AZ) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1477078764
Nicole Warner Shaha, PA-C's National Provider Identifier is 1477078764, issued on Aug 7, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mesa, AZ. The record was last updated on Sep 17, 2024.