Individual provider · Type 1 NPI

Nicole Elizabeth Zack Nwobodo, PA-C

Physician Assistant · Glendale, AZ

NPI number 1619290822 Active

Practice location

5605 W Eugie Ave, Ste. 200
Glendale, AZ 85304-1272

Call (602) 843-2991 Map

Fax (602) 978-1226

Mailing address

13965 N 75th Ave
Peoria, AZ 85381-6097

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5740 (AZ)
Physician Assistant 363A00000X10711 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619290822

Nicole Elizabeth Zack Nwobodo, PA-C's National Provider Identifier is 1619290822, issued on Mar 3, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glendale, AZ. The record was last updated on Oct 16, 2017.