Healthcare Provider Details

I. General information

NPI: 1386560449
Provider Name (Legal Business Name): GIGI NICOLE ARP APRN-RNP PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: G NICOLE ARP

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 W RODEO RD
CASA GRANDE AZ
85122-6201
US

IV. Provider business mailing address

34621 W LA BREA RD
MARICOPA AZ
85138-4150
US

V. Phone/Fax

Practice location:
  • Phone: 520-421-4968
  • Fax:
Mailing address:
  • Phone: 602-725-6642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number235945
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: