Individual provider · Type 1 NPI

Laura Elizabeth Chiccarello, FNP-C

Nurse Practitioner · Glendale, AZ

NPI number 1710754718 Active

Practice location

5102 W Olive Ave Ste 101
Glendale, AZ 85302-4201

Fax (888) 316-1686

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X291427 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1710754718

Laura Elizabeth Chiccarello, FNP-C's National Provider Identifier is 1710754718, issued on Dec 8, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glendale, AZ. The record was last updated on Jan 28, 2026.