MEDICARE: NICOLE ELIZABETH HANEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	321912	AZ
2	163W00000X	Registered Nurse	RN200834	AZ

General Provider Information

NPI Number	:	1265100903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ELIZABETH HANEY NP

Provider Business Mailing Address
First Line	:	16569 W CHARLOTTE DR
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85387-2190
Country	:	US
Telephone Number	:	623-698-2174
Fax Number	:

Provider Business Practice Location Address
First Line	:	20770 W MARKET ST STE 101
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85396-8042
Country	:	US
Telephone Number	:	32-162-3873
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	03/31/2025

Similar Medicare Providers

1154346195 — MS. CARRIE A AYERS PT
Practice Location Address:

20770 W MARKET ST STE 106
BUCKEYE, AZ
85396-8042

Practice Phone: 623-278-7520
Practice Fax: 623-278-7521

1467129684 — BHSM REHABILITATION, LLC
Practice Location Address:

20770 W MARKET ST STE 106
BUCKEYE, AZ
85396-8042

Practice Phone: 717-972-1100
Practice Fax:

1386571974 — ADYA CHAURASIA
Practice Location Address:

19591 W INDIAN SCHOOL RD STE 101
BUCKEYE, AZ
85396-2096

Practice Phone: 602-830-3837
Practice Fax: 602-814-0957

1427051812 — DR. STEVEN GALE HIGGINS D.C.
Practice Location Address:

4252 N VERRADO WAY STE 203
BUCKEYE, AZ
85396-7499

Practice Phone: 623-322-5078
Practice Fax: 623-322-5486

1659363166 — DR. LUANA RODRIGUEZ DNP, CNM, CCTP
Practice Location Address:

20655 W LEGEND TRL
BUCKEYE, AZ
85396-1756

Practice Phone: 954-682-7069
Practice Fax:

1811977457 — MITAS MOINA BALBIN MEDRANO
Practice Location Address:

20508 W DANIEL PL
BUCKEYE, AZ
85396-3649

Practice Phone: 650-580-3503
Practice Fax: 623-776-2813

Directions to “ NICOLE ELIZABETH HANEY NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.